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CARLTONIANS - Carlton Football Club

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PACKAGE OPTIONS<br />

MEMBERSHIP CATEGORY<br />

Platinum<br />

Gold<br />

Silver<br />

Bronze<br />

Youth (13-17yrs)<br />

Junior (5-12yrs)<br />

PAYMENT<br />

PAYMENT METHOD<br />

Bank transfer*<br />

Credit card<br />

Cheque #<br />

* Please transfer to the <strong>Carlton</strong> <strong>Football</strong> <strong>Club</strong> using the following details:<br />

BSB: 033-178 ACC: 287089 Westpac <strong>Carlton</strong>, VIC<br />

# Please make cheque payable to <strong>Carlton</strong> <strong>Football</strong> <strong>Club</strong> and enclose<br />

with booking form.<br />

NO. OF PACAKGES REQUIRED AMOUNT<br />

Tax invoice required: Yes / No<br />

TOTAL (inc GST) $<br />

CREDIT CARD DETAILS<br />

Visa (+2.5% surcharge) Mastercard (+2.5% surcharge) Amex (+3% surcharge)<br />

Card number:<br />

Card expiry: /<br />

Cardholder’s name:<br />

Cardholder’s signature:<br />

$9,800<br />

$6,300<br />

$3,800<br />

$2,300<br />

$200<br />

$100<br />

TOTAL<br />

Date: Total: $<br />

Please return this form to: Amanda Hunter (CFC Coteries Manager) M: PO Box 83, <strong>Carlton</strong> North, VIC 3054 F: (03) 9388 0326<br />

For any queries please contact: Amanda Hunter P: (03) 9389 6256 E: mandy.hunter@carltonfc.com.au<br />

CFC38_148x210_corporate_sales_<strong>Carlton</strong>ians_FA.indd 6 6/12/11 10:37 AM<br />

$<br />

$<br />

$<br />

$<br />

$<br />

$

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