Win

£12,000in our annual jackpot

draw (a grand a month for 12 months).

4 x£100

2 x£50

8 x£25

20 x£10

What is the Claret and Blue Bond? The Claret and Blue Bond is a member’s lottery that gives you, the fans, a closer link to Burnley FC whilst at the same time giving you the opportunity to win some fantastic cash prizes and raise vital income for the Burnley FC Academy - the future of your Club.

BlueClaret Blue

BlueClaret Blue

Fantastic guaranteed weekly prizes

ALL FOR ONLY

PER WEEK£1

Plus a weekly rollover that starts at £2,000 & rolls over by £500 each week if not won

Standing Order FormInstructions to your bank or building society

Please complete in BLOCK CAPITALS and in black ink marking the appropriate box(es) with an X.

Title Forename Surname

Address

Postcode

Tel no (inc area code) Mobile

Email Date of Birth

Please complete this form and send to: Burnley FC Lottery Office, Burnley Football Club, Turf Moor, Harry Potts Way, Burnley, Lancashire, BB10 4BX. Tel: 01282 700 023Please do not return directly to your bank. Registered with the Gambling Commission, License No 000-005185N-104607002By giving your details you agree they may be used by Burnley Football Club.Your data will be processed under the terms of the Data Protection Act 1998.You will be able to unsubscribe at any time by emailing lotteries@burnleyfc.com

Account name

Regular amount (in figures)

Date of first payment

Frequency Choose one option by marking one of the boxes with an X

Account number

Sort code

2 Details of the account where payments will come from

1 Personal details (members must be 16 years or older)

4 Payment details

Yearly First payment of £53.31 then £52.00 annually.

Quarterly First payment of £14.31 then £13.00 quarterly.

Half-Yearly First payment of £27.31 then £26.00 bi-annually.

Montly First payment of £5.65 then £4.34 monthly.

D D M M Y Y Y Y

Signature

Date D D M M Y Y Y Y

BlueClaret Blue

3 Details of the account where payments will be sent to (for office use only)

Account name Name of bank or building society:

Burnley FC Clarets Revival

Membership number

Lloyds Plc Branch: Manchester Road, Burnley

Sort code 30 - 11 - 48

Account Number 0 0 7 7 2 5 0 4