SUPPORTER MEMBERSHIP FORM FOR OFFICE USE ONLY : CARD NUMBER 1. TSATSANTSIE CLUB for kidz under 12 R20-00 (membership card only) 2. SKEEMA MATSATSANTSA R30-00 (membership card only) 3. Matsatsantsa gold R180-00 (membership card & free seasonal entry for all leagues (Home games only) SURNAME ____________________________ NAME(s): I.D NUMBER: AGE: _____ BIRTH DATE: _____________________ GENDER: FEMALE MALE CONTACT DETAILS: TEL (H): __________________________ (W) _________________________________ CELL NO.: ___________________________FAX NO: _____________________________ E-MAIL ADDRESS: ____________________________________________________________ PHYSICAL ADDRESS ONLY _________________________________________________________ _______ BRANCH: ____________________________________________________________________ Where did you hear about Matsatsantsa club? ______ Social Media Details: Facebook and/or Twitter handle: ___________________________ Supporters Jersey Size: ______________________ Supporters Employment Details: _____________________________________________ Supersport United Membership Number: ______________________________________ Favourite First Team Player: ________________________________________________ Supporters Branch: _______________________________________________________ Please ensure that you give your form to an authorized SuperSport United Representative. NB: ONLY REGISTERED MEMBERS STAND A CHANCE TO WIN PRIZES AT ALL OUR HOME GAMES, DRAWS WILL BE CONDUCTED DURING HALF TIMES. MORE INFORMATION: Website: www.sufc.co.za
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