Application Form  

Name_______________________________________________________________________

E-mail address or Mobile Number to send selections____________________________________

I wish to become a Member of Arrow Racing UK and agree to be bound by the terms and conditions.

Signature  ....................................................    Date  ......................................................

Standing Order Mandate

From:           Name  ____________________________________________________________________

                     Address ___________________________________________________________________

                     ___________________________________________Post Code ______________________

To:              Bank  _____________________________________________________________________

                    Address___________________________________________________________________

                    ____________________________________________Post Code_____________________

Sort Code:  ________________________     Account Number:  _________________________

On the first day of each month commencing on 1st February 2009 and until further notice please credit 

Account Name:       A Bolton t/a Arrow Racing UK

Bank:                       Alliance & Leicester plc, Bootle, Merseyside, GIR 0AA                  

Sort code:                72-50-05                      Account Number:       

The sum of £9 (Nine Pounds) only.          

Signed___________________________________    Dated:__________________

Return this completed form to:  Arrow Racing UK, 49 Walcote Drive, West Bridgford, Nottingham, NG2 7JQ