2010 YEARBOOK 2010 YEARBOOK - South Fremantle Football Club

SOUTH FREMANTLE FOOTBALL CLUB (INC)
PO Box 368 Fremantle WA 6959
Phone: (08) 9335 1555 Fax: (08) 9430 4143
Email: bulldogs@sffc.com.au Web: www.sffc.com.au
ABN 62 379 082 609
“The Premier Family Club”
2011 MEMBERSHIP APPLICATION
VALID FROM 1 NOVEMBER 2010 TO 31 OCTOBER 2011
Name:
Address:
Phone:
Mobile:
Fax:
Email:
Please indicate below the type of Membership you require :
See over for Membership Types and Options
General Membership $ 70.00
Joint Membership $120.00
Country Membership $ 45.00
Pensioner/Concession $ 45.00 Card No. __________
Student/Unemployed $ 45.00 Card No. __________
Centurion Membership $135.00
Southerner Membership $500.00
Past Players & Officials $ 20.00
Junior Membership $ 30.00 DOB _____________
Season Pass (Pensioner) $ 60.00
Season Pass (Adult) $ 80.00
Reserved Seat $ 25.00 Blk ___Row___ Seat __
Recruiting donation - $10 or more $
TOTAL PAYMENT $
Enclosed is my cheque/money order for the amount indicated. Please debit my credit card for the amount indicated.
MasterCard Visa Card Diners Club American Express Amount $
Card Number Expiry Date
Cardholders Name (Please Print) Signature
Office Use:
�
Date Rec. ___________________________
Receipt No. ________________________
Membership No. _____________________
South Fremantle Football Club 2010 Yearbook
/
13