The Secret System ™

Subscriber Application Form

           Click the Print Button in Your Browser


YES I AM APPLYING WITHIN 10 DAYS !!!


YES, I am ready to make serious money. Please accept me as a member of your private syndicate and waive the usual £195.00 registration fee then ‘lock me in’ at the special subscription price of £59.99 per month. I know that I may cancel my subscription at any time. I understand that if I am not accepted I will be put on a waiting list and contacted when a membership place becomes available. I understand that my standing order will not be processed unless I am accepted as a member. I understand that as long as my monthly subscription is in force I may telephone Eric Cole’s private syndicate number for ‘Secret System’ selections. This number is non-premium rate and is for private clients only. I agree to keep the telephone number, password pin and any information received on the line strictly confidential. Divulging access details or syndicate information to a third party will result in membership termination and risk of legal action. I am fully aware that there are days when no selections are available and I am quite prepared to wait until ‘The Secret System’ gives a selection to bet. I agree that by signing this application I am signing a ‘non-disclosure’ confidentiality agreement and agree not to divulge any syndicate information to any third party.
Please sign in box below


PLEASE COMPLETE IN BLOCK CAPITALS

Title .......... First name .............................

Last name ...............................................

Signature...............................................

Date ....................................................

Address .................................................

.........................................................

.................................. Post Code.............

Email ...................................................

Tel. No .................................................

How did you find out about the syndicate?

.........................................................


APPLICATION DATE CODE 100374 (59)

SUBSCRIPTION STANDING ORDER

Complete using block capitals

To: (Bank)........................................

Sort Code: ............ - .............. - ........

Account Number ..................................

Branch Address ..................................

.................................................

.......................... Post Code ..............

Name of account holder (as on cheque book etc.)

(Print name) .....................................

Signature...........................................

Date ...............................................

Please pay to HSBC BANK,
DateBox Limited  (Sort Code 40-08-42) (Account No. 11397613) the sum of £59.99 (fifty nine pounds ninety nine pence) payable on date of receipt of this bankers order and the same sum on the same day of each month at intervals of one month until further notice.


Bank use only: IMPORTANT:When remitting please quote this reference:



Please send completed application and standing order to:
Eric Cole, DateBox Limited
FREEPOST SEA14388
Ashford, TW15 2BR