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Membership Form (PDF) Standing Order Mandate (PDF)

Download and complete one of the above forms and send, along with appropriate payment if applicable, to:

The Well Society, Fir Park Stadium, Firpark Street, Motherwell ML1 2QN

If you can’t or don’t want to download and print a membership form, you can complete the details below and we will send a pack out to you in the post.

Please note that by providing us with your details, you are not committing to any membership or payment at this stage.

Personal details

First Name

Surname

Date of Birth (DD/MM/YY)

House Name / Number

Address

Town / City

Postcode

Home Phone Number

Mobile Phone Number

Email Address

Are you currently a season ticket holder?

Membership details

Please tick the Membership Package in which you would be interested.

Junior (£25 first year, £20 thereafter)
Steel (£300 first year, £50 thereafter)
Claret (£1,000 first year, £150 thereafter)
Amber (£5,000 first year, £500 thereafter)
1886 (£25,000 first year, £1,000 thereafter)

During the course of the season, the club often send out offers and information via email. If however you do not wish to receive further information (other than relevant Well Society information), please tick the box below.

I don't want to receive club offers and information