CARLTONIANS - Carlton Football Club

carltonfc.com.au

CARLTONIANS - Carlton Football Club

PACKAGE OPTIONS

MEMBERSHIP CATEGORY

Platinum

Gold

Silver

Bronze

Youth (13-17yrs)

Junior (5-12yrs)

PAYMENT

PAYMENT METHOD

Bank transfer*

Credit card

Cheque #

* Please transfer to the Carlton Football Club using the following details:

BSB: 033-178 ACC: 287089 Westpac Carlton, VIC

# Please make cheque payable to Carlton Football Club and enclose

with booking form.

NO. OF PACAKGES REQUIRED AMOUNT

Tax invoice required: Yes / No

TOTAL (inc GST) $

CREDIT CARD DETAILS

Visa (+2.5% surcharge) Mastercard (+2.5% surcharge) Amex (+3% surcharge)

Card number:

Card expiry: /

Cardholder’s name:

Cardholder’s signature:

$9,800

$6,300

$3,800

$2,300

$200

$100

TOTAL

Date: Total: $

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

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

CFC38_148x210_corporate_sales_Carltonians_FA.indd 6 6/12/11 10:37 AM

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