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2015 CHANNEL SEVEN
BRISBANE RACING CARNIVAL
Brisbane Racing Club
Membership Department
PO Box 817Hamilton Central
QLD 4007
RECIPROCAL MEMBERS TICKET APPLICATION FORM
Reciprocal Club Members are entitled to one (1) complimentary Members’ Reserve ticket for themselves and the option of purchasing
one (1) additional Members’ Reserve for an accompanying guest. All Reciprocal Members and their guests must pay general admission
for each race day (Members’ Reserve Tickets for the guest include general admission). Forms and payment must be received at least
one (1) week prior to race day for tickets to be posted. Tickets will not be left for collection on race days.
I understand that Members’ Reserve Tickets do not grant access to the Bernborough Bar at Doomben Racecourse
Reciprocal Member Details
First Name
Surname
Postal Address
Postcode
Contact Number
Reciprocal Club
Members
Signature
Membership Badge Number
Email Address
Ticket Requirements
(Require proof of
Reciprocal Club Membership)
UBET Cup Carnivale Day
James Boag’s Premium
Doomben 10,000 Day
Treasury Casino & Hotel
Ladies’ Oaks Day
AAMI Stradbroke Day
Tick if
required
(Includes General
Admission)
Tick if
required
Subtotal
9 May
Admission - $25.00
-
Guest Ticket - $105
$
23 May
Admission - $25.00
Guest Ticket - $105
$
30 May
Admission - $25.00
Guest Ticket - $105
$
6 June
Admission - $40.00
Guest Ticket - $140
$
TOTAL
I have enclosed a
I wish to pay by
$
(payable to Brisbane Racing Club Ltd)
Credit Card
Mastercard
Visa
American Express (2.9% Surcharge Applies)
Expiry
/
Cardholder’s Name _______________________________ Cardholder’s Signature _____________________________
Return completed applications to: Brisbane Racing Club Membership Department, PO Box 817, Hamilton Central, QLD 4007
Enquiries: PH: (07) 3268 2171
E: [email protected]
Forms must be received at least one week prior to each race day in order for tickets to be posted.
Tickets will not be left for collection on race days.
Member’s dress code applies (www.brc.com.au)