Register your interest in being part of Latics' Fan Advisory Board.

*The information provided on this form will be treated as confidential and will not be used for promotional materials or shared with any third parties.

The information will be used in line with the Data Protection Act 1998.

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* 1. What is your first name?

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* 2. What is your last name?

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* 3. What is your date of birth?

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* 4. What is your street address?

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* 5. What is your email address?

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* 6. Are you a current 2016/17 season card holder?

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* 7. *I have read and understood the information which explains how Wigan Athletic will use my personal information and agree to the use of my data for these purposes.

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