Full Sportsbook Subscription £36.00 per month!  Home
Simply print out this form and fill it in as per these instructions:

ONE - Give your Name & Address and the e-mail address you would like to use:

Name:
Address.


email:

TWO - Fill in Section C below. Sections A and B will be filled by ourselves.

THREE - Return this form back to The Sportsbook, PO Box 262, Warwick, CV34 5WN. Do not send it back to your bank.


SECTION A - BENEFICIARY DETAILS

Bank:  Barclays        Branch Details:  Warwick        Sort Code:  20-48-08
Account Number:                                                     Beneficiary Name:  Computerform


SECTION B - PAYMENT DETAILS

Amount of First Payment:   £36.00             Date of First Payment:
Amount of Usual Payment: £36.00             Then Paid: Monthly
Date of Usual Payment:         of each month
Please Continue Payments Until Further Notice: Yes


SECTION C - ACCOUNT TO BE DEBITED
Please enter the following details regarding your bank account:

Name of Bank:
(ie Barclays, Lloyds, TSB etc)
Address of Bank (incl postcode):



Your Account Number:                                Sort Code:

Account Name:
(i.e. name of account holder)
Customer Signature:                                    Date: