Cadbury Super Team Family Day - Australia Day 2012

To register to attend the Cadbury Super Team Family Day at Blacktown Athletics Centre on Australia Day, Thursday 26 January 2012, please complete your details below. You may register up to 10 guests to attend.

You will receive an email to confirm your registration within three days of registering. If you do not receive a confirmation email please contact caitlin.tuttle@afl.com.au

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* 1. Please enter your details below: (all fields mandatory)

First name:

Last name:

Address 1:

Address 2:

Suburb:

State:

Post code:

Email address:

Phone number:

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* 2. What AFL team do you support?

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* 3. How did you hear about this event?

Newspaper

Radio

Banner

Flyer

Local Junior Club

Adelaide Crows

Brisbane Lions

Carlton

Collingwood

Essendon

Fremantle

Geelong Cats

Gold Coast SUNS

GWS GIANTS

Hawthorn

Melbourne

North Melbourne

Port Adelaide

Richmond

St Kilda

Sydney Swans

West Coast Eagles

Western Bulldogs

Other (please specify)

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* 4. If required, please enter additional guest details:

First name 1:

Last name 1:

Age (if under 18):

First name 2:

Last name 2:

Age (if under 18):

First name 3:

Last name 3:

Age (if under 18):

First name 4:

Last name 4:

Age (if under 18):

First name 5:

Last name 5:

Age (if under 18):

First name 6:

Last name 6:

Age (if under 18):

First name 7:

Last name 7:

Age (if under 18):

First name 8:

Last name 8:

Age (if under 18):

First name 9:

Last name 9:

Age (if under 18):

First name 10:

Last name 10:

Age (if under 18):

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* 5. I am happy receive information about the 2012 Cadbury Super Team and AFL 9s

Yes

Thank you for registering to attend the Cadbury Super Team Family Day. Your Ticket(s) will be emailed to you a week prior to the event.