The Bleeding Wolf

 

Customer Registration

 

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PERSONAL DETAILS

*First Name
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*Gender

     

*Date of Birth

*You must be over 18 to register

Address 1
Address 2
Town
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Postcode
 
Phone Numbers
Home
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*Email Address
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CONTACT PREFERENCES

 
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PROFILE

What do we use this information for? - It will just give us an idea of what our customers are into as well as trends and styles and how they are changing. We might use this information to help us plan future events.

 

Sport

Please choose up to football 3 teams that you follow, with your main club first.

Main Club

Club #2

Club #3

 

Sports you are interested in(please tick all that apply)

Football    
Boxing
Ice Hockey 
Golf
Cricket
Motor Racing  
Racing    
Cycling
Rugby Union
Rugby League
Darts
Tennis

 

 

 

Entertainment

Favourite music act at The Bleeding Wolf (if applicable)

 

 

 

Comments

(What we do well or not so well, things you'd like to see, or if you want just use this bit to have a rant about council tax or something)

 

PASSWORD

Password
re-type password

Don't worry if you forget your password, we can send it to your email address.

 

TERMS AND CONDITIONS

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VERFICATION CHARACTERS

This helps prevent automated registrations

 

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