2024 Membership Sign Up – Leigh Leopards

About You

Tell us a bit about yourself in the following form.

Are you an existing member?

Yes

Heritage Number

First Name

Surname

Which of the following best describes you?

Prefer not to self describe (please write in the box below)

Date Of Birth

Date Of Birth. You can click on the arrows to change the year or click the year and type in your year of birth

Email Address

Phone/Mobile

Address

Address Line 1

Address Line 2

Town

Post Code

Country

Please select your required membership type

Red

White

Gold

Platinum SOLD OUT

Black

Please see below Membership Comparison Chart below or click here to view membership page

How would you like to pay?

Upfront / One Off

Monthly (prices include previous month[s])

Red Card Pay Monthly

Adult

£20.00 for first month then £10.00 for each month, for 6 installments

Over 65

£18.00 for first month then £9.00 for each month, for 6 installments

18 - 21

£12.00 for first month then £6.00 for each month, for 6 installments

12 - 17

£8.00 for first month then £4.00 for each month, for 6 installments

5 - 11

£5.00 for first month then £2.50 for each month, for 6 installments

Under 5's

£0.00 for each month, for 6 installments

Red Card Annual

Adult

One time payment of £60.00

Over 65

One time payment of £54.00

18 - 21

One time payment of £36.00

12 - 17

One time payment of £24.00

5 - 11

One time payment of £15.00

Under 5's

One time payment of £0.00

White Card Monthly

Adult

£50.00 for first month then £25.00 for each month

Over 65

£40.00 for first month then £20.00 for each month

18 to 21

£24.00 for first month then £12.00 for each month

12 to 17

£15.00 for first month then £7.50 for each month

5 to 11

£10.00 for first month then £5.00 for each month

Under 5's

£0.00 for each month

White Card Annual

Adult

One time payment of £300.00

Over 65

One time payment of £240.00

18 to 21

One time payment of £144.00

12 to 17

One time payment of £90.00

5 to 11

One time payment of £60.00

Under 5's

One time payment of £0.00

Gold Card Monthly

Adult

£56.00 for first month then £28.00 for each month

Over 65

£46.00 for first month then £23.00 for each month

18 to 21

£30.00 for first month then £15.00 for each month

12 to 17

£20.00 for first month then £10.00 for each month

5 to 11

£15.00 for first month then £7.50 for each month

Under 5's

£5.00 for first month then £2.50 for each month

Gold Card Annual

Adult

One time payment of £336.00

Over 65

One time payment of £276.00

18 to 21

One time payment of £180.00

12 to 17

One time payment of £120.00

5 to 11

One time payment of £90.00

Under 5's

One time payment of £30.00

Platinum Card Monthly

Adult

£100.00 for first month then £50.00 for each month

Over 65

£90.00 for first month then £45.00 for each month

18 to 21

£74.00 for first month then £37.00 for each month

12 to 17

£60.00 for first month then £30.00 for each month

5 to 11

£50.00 for first month then £25.00 for each month

Under 5's

£20.00 for first month then £10.00 for each month

Platinum Card Annual

Adult

One time payment of £600.00

Over 65

One time payment of £540.00

18 to 21

One time payment of £444.00

12 to 17

One time payment of £360.00

5 to 11

One time payment of £300.00

Under 5's

One time payment of £120.00

Black Card Monthly

Adult

£200.00 for first month then £100.00 for each month

Over 65

£180.00 for first month then £90.00 for each month

18 to 21

£170.00 for first month then £85.00 for each month

12 to 17

£160.00 for first month then £80.00 for each month

5 to 11

£90.00 for first month then £45.00 for each month

Under 5's

£80.00 for first month then £40.00 for each month

Black Card Annual

Adult

One time payment of £1,200.00

Over 65

One time payment of £1,080.00

18 to 21

One time payment of £1,020.00

12 to 17

One time payment of £960.00

5 to 11

One time payment of £540.00

Under 5's

One time payment of £480.00

Seat / Stand Selection

We will contact you to arrange your specific seat which are allocated on a first come first served basis. To assist with this process please include any stand block preferences below.

Please select stand

North (standing only)

West

East

Please select a West Stand block

Please select a East Stand block

Please enter any special requests

If you know the two fixtures you would like to redeem your membership against please detail them below, alternatively you can redeem your ticket allocation against your membership at anytime during the season subject to availability.

Black Members Polo Size

Platinum Members Polo Size

Sizing Guide

Please note these measurements are seam to seam.

Garment Choice

Replica Home Shirt

Replica Polo

Garment Size

Small

Medium

Large

2XL

3XL

4XL

5XL

6XL

3/4

4/5

6/7

8/9

9/10

11/12

13/14

Payment Details

Let's proceed with your payment details for membership.

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Coupon

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I have read and agree to the Terms and Conditions and Privacy Policy and understand that by doing so I am authorising recurring monthly payments for the membership provided until such time as canceled by myself. I also understand that any failure to make the necessary monthly payments to complete the membership purchase will result in the full balance of the membership becoming due and payable in full.

I have read and agree to the Terms and Conditions and Privacy Policy.

Pay with Card (Stripe)

About You

Seat / Stand Selection

Payment Details

Links

Fixtures

Social

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