Cobra Supporter Membership Pack Season 2015 Season 2015 What the Cobras “Home Grown” Supporters Membership Pack Includes Official Game Merchandise - Family Membership includes 2 Key Rings, 2 T-Shirts, 2 Beanies, 2 Bumper Stickers, 4 Official Cobras Membership Cards, 4 Home Grown Lanyards and Season Fixtures - Adult Membership includes Key Ring, T-Shirt, Official Cobras Membership Card, Home Grown Lanyard and Season Fixtures - Child Membership includes Beanie, Bumper Sticker, Official Cobras Membership Card, Home Grown Lanyard and Season Fixtures Reserved seating in the “Home Grown” members stand for SEABL/VYC games Four Bring a friend home game passes Entry into all SEABL & VYC home games in season 2015 Entry into all SEABL & VYC home games in the finals series season 2015 Invitation to the official Kilsyth Cobras 2015 Fanfest Singlet Presentation Priority seating for exhibition games held at the Kilsyth Sports Centre Entry into the draw for a mid-season catered 8 seat corporate box, winner will be drawn at the first home game in May 2015 (All packs include home grown carry bag. Packs subject to change without notice) Birthday Party Box Available Price: $160.00 Birthday party box available (subject to availability. Not available during the finals series) Package includes 8 seat corporate box (for 8 children plus entry into game for 2 adults included) Party pies, party sausage rolls, hot chips & drinks Birthday card signed by the SEABL men & women’s teams (birthday child) Signed basketball (birthday child) Party bag (for all party guests) (Birthday party box details subject to change without notice) For further information please contact the Kilsyth Sports Centre Office 9728-1033 Cobras Supporter Membership Pack Application Name ____________________________________________________________ Address ___________________________________________________________ ___________________________________________ Post Code _____________ Best Contact Number ________________________________________________ Email Address ______________________________________________________ Season Membership Price *(Early bird price available for memberships purchased by 1 December 2014) Season Membership Type Family (2 Adults, 2 Children) Adult Child (12 and Under) Price $160.00 $ 80.00 $ 30.00 Early Bird Price $144.00 $ 72.00 $ 27.00 Six Game Membership Price (Merchandise is not included with this membership deal) Six Game Membership Type Family (2 Adults, 2 Children) Adult Child (12 and Under) Price $80.00 $40.00 $15.00 Seat Allocation (Season membership only) Row Seat Number/s (Season membership only) T Shirt Size (Season membership only) Adult Amount X-Small Child Amount 8 Small 10 Medium 12 Large X-Large 2 X-Large 3 X-Large 14 Member Names Surname 1 2 3 4 5 6 First name Date of Birth / / / / / / / / / / / / Payment Details Credit Card Payment: Cobras Supporter Membership Pack Card Number________/________/________/________ Expiry Date _____/_____ Visa _____ MasterCard _____ Purchase Amount $_________________ Card Holders Signature ______________________________________________ __________________________________________________________________ Direct Deposit Payment: Cobras Supporter Membership Pack Account Name: Eastern Sports Development Ltd Bank: National Australia Bank Amount Paid: $_________ BSB: 083-125 Account Number: 166 888 388 Reference Name: __________________________ Please use your surname and first initial as your reference and post the above membership form to Kilsyth Basketball “Cobras Supporter” membership pack. P.O. Box 106, Kilsyth 3137 Staff Use Only Receipt Number __________ Amount Paid $ __________ Payment Method: EFTpos Cash Date _____/______/_____ Direct Deposit Staff Member ______________________________
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