LIVERPOOL F.C. – I.S.C. “HELLENIC BRANCH”

M E M B E R S H I P F O R M

Club Office : 54 Menandrou str., 2nd Floor, Office 13, Athens Tel.: 0030-1- 5222050 Fax: 0030-1-4132579 Salonika Office : Lechovou str. 6, Stavroupolis, Salonika Contact : P. O. BOX 34111 - Omonia 100 29 Áthens, HELLAS (Greece).


 
ANNUAL SUBCRIPTION RATE = £ 12 / $ 20
 
  1. Complete the following form.
  2. Send us with registered mail at the following address: L.F.C.-I.S.C. HELLENIC BRANCH P.O.BOX. 34111 P.C. 100 29 ATHENS, HELLAS (Greece) having enclosed 2 photos (passport size), the correct remittance.
  3. As soon as we receive it, a whole parcel with your I. D. membership card and a small gift from the club, will be sent to you.

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Surname:

Father's Name:

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Date of Birth:

INTERNATIONAL SUPPORTERS CLUB NUMBER:

Email:

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