2017 Claremont Football Club Membership Form

Please provide your personal details and details of your selected membership package/s below. This form is designed for those who would like to purchase their membership/s by Credit Card only. If you would like to purchase your membership/s with Cash, Cheque or Other please call the Club directly on 9384 9200.

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* 1. Personal Details

Last Name

First Name

Street Address

Suburb

Postcode

Postal Address

Phone

Email Address

D.O.B

Gender (M/F)

Occupation

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* 2. Are you a new Member or Renewing Member?

New Member

Renewing Member

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* 3. Please choose the membership type/s and quantity/s from the selections below. (Please see the official 2017 CFC Membership Categories Flyer to see all of the benefits of each membership)

	Amount
Roaring Tiger (Adult) W/Ground Entry SPECIAL- $145	Roaring Tiger (Adult) W/Ground Entry SPECIAL- $145 Amount menu
Roaring Tiger (Concession) W/Ground Entry SPECIAL - $105 NOTE: A copy of current concession card must be emailed to memberships@claremonttigers.com	Roaring Tiger (Concession) W/Ground Entry SPECIAL - $105 NOTE: A copy of current concession card must be emailed to memberships@claremonttigers.com Amount menu
Family Membership - SPECIAL $290 (2 Adults, 2 Children)	Family Membership - SPECIAL $290 (2 Adults, 2 Children) Amount menu
Tiger Insider (General) - $95	Tiger Insider (General) - $95 Amount menu
Tiger Insider (Concession) - $75 NOTE: A copy of current concession card must be emailed to memberships@claremonttigers.com	Tiger Insider (Concession) - $75 NOTE: A copy of current concession card must be emailed to memberships@claremonttigers.com Amount menu
Roaming Tiger (Country/Interstate) - $55 NOTE: Must live 100km or more from Perth GPO	Roaming Tiger (Country/Interstate) - $55 NOTE: Must live 100km or more from Perth GPO Amount menu
Social Tiger - $55	Social Tiger - $55 Amount menu
Social Tiger (Concession) - $45 NOTE: A copy of current concession card must be emailed to memberships@claremonttigers.com	Social Tiger (Concession) - $45 NOTE: A copy of current concession card must be emailed to memberships@claremonttigers.com Amount menu
Tiger Cub (Junior <16yrs) - $30	Tiger Cub (Junior <16yrs) - $30 Amount menu
Tiger Toddler (<4ys) - $20	Tiger Toddler (<4ys) - $20 Amount menu
Past Players & Officials Membership (Metro) - $30 NOTE: This is not a CFC Membership	Past Players & Officials Membership (Metro) - $30 NOTE: This is not a CFC Membership Amount menu
Past Players & Officials Membership (Regional) - $15 NOTE: This is not a CFC Membership	Past Players & Officials Membership (Regional) - $15 NOTE: This is not a CFC Membership Amount menu
Save me a seat! - $70 Reserve a seat in the new Grand Stand for the Season	Save me a seat! - $70 Reserve a seat in the new Grand Stand for the Season Amount menu

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* 4. Additional Membership Nominees (including family)

Name 2nd Adult

D.O.B

Gender

Email Address

Mobile Number

Name 1st Junior

D.O.B

Gender

Name 2nd Junior

D.O.B

Gender

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* 5. Payment Details

Total Amount ($)

MasterCard/Visa

Card Holders Name

Card Number

Expiry Date

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* 6. I acknowledge that a further $10 will be charged for postage of Tiger Cub (Junior) or $5 to post the Tiger Toddler Membership Pack.

Yes

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* 7. I authorize the Claremont Football Club to charge the total sum to the card details provided above.

Yes

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* 8. I would like to receive a receipt for my purchase. (Receipt will be sent to the postal address provided above)

Yes

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* 9. I would like to receive E-Newsletters from the Claremont Football Club.

Yes

Payments will be processed at the Claremont Football Club with in 48hrs of the form being submitted. To follow up on your membership/s status please call the club on 9384 9200.