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
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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 ______________________________