AmaTuks
Supporters Club Membership Application Form 2015/16
Title
Name
Surname
Date Of Birth
ID/Passport Number
Gender
Nationality
Ethnicity
African
White
Cellphone Number
Tel Home
Tel Work
Email Address
Home Address
Coloured
Indian
Other
Postcode
Suburb/ Village
City/Town
Province
UP Student/Personell/Alumni Number
Membership Packages (Please select by making a cross”“ in the relevant box)
Child 6 - 18
UP Student*
UP Staff
UP Alumni
General
Membership Only
Membership + Season Ticket
R50.00
R50.00
R60.00
R60.00
R70.00
R200.00
R200.00
R300.00
R300.00
R350.00
*Students who choose the membership only (free tickets) option will have to purchase tickets for categoy A matches
(Kaizer Chiefs, Orlando Pirates and Mamelodi Sundowns) at general prices of R40.00 (Fourty Rands) a ticket.
Students and club players who choose the Membership Only option will not be eligible for any season ticket holders
competitions.
Would you like to receive club related notifications? (News, fixtures & results.)
Yes
No
Would you like to receive marketing related notifications from the club and its suppliers and/or
sponsors?
Yes
No
How would you like to receive notifications?
SMS
Email
Declaration
I
(Full Names), agree to abide by the
UPFC Supporters Constitution and Code Of Conduct as well as policies of the University of Pretoria.
Visit www.amatuks.co.za or request the informtion from the AmaTuks office.
Signature (Guardian if under 18)______________________Date
.
See overleaf for additional information regarding the application process.
Please ensure that you complete the form and return it to AmaTuks. Once we have received all the
documentation and payment you will be notified of your membership number and where you may collect
your membership card, tickets and/or shirt.
Membership Number
(Back of the Card)
AmaTuks
Supporters Club Membership Application Form 2015/16
Returning Application Forms
You may return the membership application form in any of the following ways:
Email
[email protected]
Physical Address
AmaTuks Offices
Office 1-74, TuksSport, Sports Centre
Sports Campus
South Street
Hatfield, 0184
Payments
Payments can be made in the following ways:
Cash
A cash payment can be made at the AmaTuks offices.
EFT/Bank deposit
Please make a deposit/transfer funds to:
Bank:
Account name:
Account number:
Branch Name:
Branch Code:
Reference:
ABSA
TS Soccer (Pty) Ltd
4058976607
Hatfield
335545
Your Name and Surname
Membership Card and Shirt Collection.
Applications made before the 30 August 2015 will receive personalised membership cards.
Collection from 13 September 2015
You may collect your membership card and shirt from the following:
AmaTuks Offices, Monday - Friday between 09H00 and 15H00
On home match days at the AmaTuks Gazebo
Please bring positive Identification and your proof of payment when collecting your card.
Applications made after the 30 August 2015 will receive non-personalised membership cards
You may collect your membership card and shirt from the following:
AmaTuks Offices, Monday - Friday between 09H00 and 15H00
On home match days at the AmaTuks Gazebo
Please bring positive Identification and your proof of payment when collecting your card.
For more information you may contact the club on:
Tel:
(012) 420-6924
Email: [email protected]