application - Montrose Football Club

www.montrosefc.org.au
Montrose Recreation Reserve
950 Mt Dandenong Tourist Road,
Montrose 3765
email: montrose@efl.org.au
ABN: 52 225 945 848
2015 Membership Application Form
Please Note: A separate membership form must be provided for each person that is applying for membership
Surname:
First Name:
Address:
Suburb:
Postcode
Telephone:
Home:
Work:
Mobile
Email Address:
Occupation:
AFL Club supported:
Would you like to be contacted regarding Club Sponsorship Packages?
YES
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NO
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By signing this form the Member and/or Player acknowledges the acceptance of the Montrose Football Club Code of Conduct
and that they, accompanied family members and visitors agree to abide by the Rules and Regulations of the Eastern football
League (EFL) and Montrose Football Club Inc.
Signature:____________________________________
Date: ____________________________
Please tick or cross box for your selection
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Includes:
Gate entry to all senior home games;
One beverage at those home games;
Entry in the Friday Night Members' Draw
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STANDARD MEMBERSHIP $120.00
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SOCIAL CLUB MEMBERSHIP $30.00
Includes:
Entry into the Ken Dowling Pavilion;
Entry into the Friday Night Members' Draw
(Gate entry to senior home games and voting rights are NOT included)
JUNIOR PARENT MEMBERSHIP U9's - U17's
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CLUB 300 MEMBERSHIP $350.00
Includes:
Gate entry to all senior home games;
Zoned viewing access from upstairs balcony and waiter
service;
One beverage at those games
Half time refreshments
Exclusive 300 Club polo shirt or scarf and stubby holder
Invitation to the Club 300 Luncheon
One Guest Pass for one senior home game
Entry into the Friday Night Members' Draw
Opportunity to network with other Club 300 members
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(COMPLIMENTARY)
NOTE: *Form must be completed in an Adults name, not the
junior players name.
If you are intending to purchase a Club 300 Membership,
please nominate your partner as the Junior Member.
Includes:
One complimentary membership per family
Gate entry to all senior home games;
Entry into the Friday Night Members' draw.
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Junior Player Name: ________________________________
Junior Player Team: UNDER ________
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Please indicate your preference:
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Club 300 Polo Shirt: S  M  L  XL  XXL  XXXL 
OR
JUNIOR PARENT MEMBERSHIP U8's (COMPLIMENTARY)
Includes:
Entry into the Ken Dowling Pavilion;
Entry into the Friday Night Members' Draw
(Gate entry to senior home games and voting rights are NOT included)
Scarf and Stubby Holder 
Junior Player Name: ________________________________
PLEASE PROVIDE YOUR PAYMENT DETAILS BELOW
Cash
Card Number:
_ _ _ _
☐
Cheque
/ _ _ _ _ / _ _ _ _
☐
/ _ _ _ _
Visa
☐
MasterCard
Expiry date: _ _ / _ _
☐
EFT
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CCV: _ _ _
Cardholder’s Name: ________________________________Signature: _________________________________ AMOUNT: $ _____________
**EFT Payment:
Montrose Football Club
BSB:
633-000
Account No: 130722143
Postal: Please post completed application form to:
Montrose Football Club
P.O. Box 77 Montrose Vic 3765
** Please quote your name eg. J&ESmithMFC Member
as the reference when paying via EFT
Email: info.montrosefc@gmail.com
OFFICE USE ONLY
Date Paid:
Via:
Card no:
Date Issued: