All information collected will be treated with confidentiality.
☐ Adult
$100
☐ Pension Card Holder $60
☐ Family* $170
☐ Long distant Supporter ** $50
☐ Non-playing aged between 14 and 17 $60
* includes 2 adults, non-playing children under 14 free
** must live a minimum of 100 km from Shepparton, this option is not available to players
Member 1
Name
Address
Mdmber 2
Name
Address
Home Phone
Mobile
Email
Home Phone
Mobile
Email
Membership Benefits:




Entry to all 2017 home games
Discount of hire of clubrooms
Able to watch games in a protected environment
Social functions – register your email address to receive notification of upcoming functions
By Being a Member of the SUFNC I hereby agree to sign and comply with the Club’s CODE of
CONDUCT. Payment of Membership will be deemed as an acceptance of SUFNC Code of Conduct.
Signature: ___________________________________________
I would like to volunteer to assist the club during the season:
YES
NO
If yes please indicate the area you would like to volunteer in:
Canteen
Kitchen
Game Day duties: (time keeper, goal umpire, interchange steward,)
Communications – website administration or other ___________________________________
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To Register Membership and obtain membership card:
Return competed form and payment or banking receipt to the club
☐ Option 1: Complete the membership form and send to Membership, Shepparton United
Football Netball Club, PO Box 675, Shepparton 3632 or
☐ Option 2: Complete the membership form and email to [email protected]
☐ Option 3: Complete the membership and return to a committee member
Payment method
Cash
Cheque
Direct Debt
Please make cheques payable to Shepparton United Football Netball Club
Payment details for Bank Transfer (direct debit)
BSB No: 083 894
ACC No: 626792708
Email [email protected] to notify club of payment, please include your name,
membership type (adult, family, etc.) and reference the subject line e.g. Membership and your
name.
Office use only
Receipt No: ……………………………………….
Membership No: ……………………………..
Payment Type: i.e., Cash, Bank Transfer or cheque (circle one)
Taken by: …………………..………………………………………..
(Print Name)
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