ONE GAME, ONE COMMUNITY,
ONE BOLTON
APPLICATION FORM
Group Name†
Contact Person†
Contact Address†
Postcode†
Email Contact†
Tel / Mob†
† Mandatory information
TICKET REQUIREMENTS
Chosen fixture:
Total no.
tickets required
Bolton Wanderers Vs
£
Minimum of 10 tickets required to qualify for the offer.
PAYMENT DETAILS
If paying by cheque, please make ticket purchases payable to BWFC.
Cheque / Postal Orders
Cash
Credit / Debit Card
Please see above for payment details
Bank Account Payments
Cashback payment cannot be made if details below are not submitted
Team / Group Bank Account Name (If applicable)
Team / Group Bank Account Sort Code
Team / Group Bank Account Number
Credit / Debit Card Payments
Please debit the relevant account to pay for ALL tickets requested in this application:
Mastercard
Visa
Visa Delta
Switch / Maestro
American Express
Card No.
Valid From
Expiry Date
CV2 No.
Issue No.
Switch / Maestro only
Card Holder’s Name (Please Print)
Signature
Date
Please forward your application form to:
Bolton Central, Group Sales, Bolton Wanderers Football Club, FREEPOST, BL2 163, Bolton BL6 6ZZ
All application forms will be destroyed once payment has been processed.
01204 673651