AFL & MCC NEW MEMBER APPLICATION YOUR DETAILS Carlton Member ID AFL/MCC Member Number TitleName Date of Birth Surname Home Phone Street Work Phone Suburb Mobile StatePostcode Email / / MEMBERSHIP OPTIONS Please tick the box next to the membership(s) you would like to purchase, then place the total cost in the space below. CAPTAINS CLUB PREMIUM RESERVED LEVEL 2/3 CAPTAINS CLUB RESERVED LEVEL 1 RESERVED LEVEL 2/3 MEMBERS RESERVE GENERAL ADMISSION LEVEL 1 LEVEL 3 GENERAL ADMISSION MCC AND AFL UPGRADES MCC Etihad Stadium GUARANTEED GUARANTEED AFL Adult Home $546 $378 $452 AFL Adult Home & Away $774 $599 $651 AFL Concession Home $320 $199 $263 AFL Concession Home & Away $464 $320 $388 $273 $289 AFL Adult Etihad Stadium $420 $469 $194 $262 $320 $377 $136 AFL Junior Home & Away $217 $136 $178 AFL Junior Home & Away $301 $216 $252 $100 AFL Junior Etihad Stadium $99 $146 $178 $211 $84 TOTAL Guaranteed access to purchase a Grand Final ticket should Carlton participate. YOUR CHOICE: FREE MEMBERS CAP OR SCARF? In season 2015 we are giving you the opportunity to choose your exclusive member fulfilment item in addition to your Standard Member Benefits. You are able to select from either the Members Cap or Scarf by ticking one of the boxes below.* Members Cap $273 $136 $105 AFL Concession Etihad Stadium GUARANTEED $158 $200 Members Scarf $ SHOW YOUR TRUE COLOURS MEMBER ADD ONS Choose from either a Carlton Members Polo and/or Members Spray Jacket. Please indicate the item, size and style you would like. $50 MEMBERS SPRAY JACKET (UNISEX) Carlton Spray Jacket [S, M, L, XL, 2XL, 3XL] Can’t decide on your exclusive member item? You can purchase either the Members Cap or Scarf for $20 in addition to your selection above.† Members Cap $20 Members Scarf $20 * Member Add On Items cannot be added to a Carlton Direct payment plan and must be paid for in full by indicating one of the payment methods on this form. * If you purchase multiple game day or True Blue memberships under the one My Blues Account, you are only eligible to make one selection. * There is limited stock of each item available. You’ll be contacted if your selection cannot be fulfilled. Size $40 MEMBERS POLO Men’s Polo [S, M, L, XL, 2XL, 3XL] Size Women’s Polo [8, 10, 12, 14, 16] Size † Members are only eligible to make one additional purchase under their My Blues Account. * If a Members Cap or Members Scarf selection isn’t made, the Members Scarf will be the default option. No exchanges can be made once the item has been dispatched from our mail house. * The Members Cap or Members Scarf selection is only available for members who receive the Standard Member Benefits as part of their fulfilment entitlements. HOW TO PAY ONLINE To renew your membership online simply visit membership.carltonfc.com.au and log into your My Blues Account using your Carlton Member ID and password. TELEPHONE Call Membership Services on 1300 CARLTON (1300 227 586) during business hours and we’ll help you with your preferred membership. Remember to let us know if you wish to purchase any of our Member Add On items. THE CARLTON SHOP Bring this form and your payment into the Carlton Shop at Visy Park on Royal Parade, Carlton North. MAIL Complete this form and return it to: Membership Services, PO Box 500, Parkville VIC 3052 PAYMENT CARLTON DIRECT Our Carlton Direct Payment Plan is the easiest way to pay for your membership. Just opt in once, and your membership will automatically roll over each November. For full terms and conditions for Carlton Direct, please go to membership.carltonfc.com.au Opt in Carlton Direct Upfront (Annual) ALTERNATIVE PAYMENT METHODS* Gift Voucher† Cheque† Monthly (10 Instalments) Money Order† CREDIT CARD Card Type Eftpos‡ Visa MasterCard Cash‡ Card Number * Valid for non-Carlton Direct payments only. Card Expiry / Card Holder’s Name † Please enclose cheque made out to Carlton Football Club, money order, or gift voucher with this form and mail to Membership Services PO Box 500 Parkville VIC 3052. Card Holder’s Signature ‡ Eftpos and cash payments can be made in person at the Carlton Shop at Visy Park or on match day during the season. Membership $ RESERVED SEATING + Add Ons $ = Total $ SEATING MAPS 39 40 Aisle 4 te Ga Ais le Sc or eB 43 Ais le 42 Ais le 41 Ais le Aisle 38 Aisle 36 Aisle 37 Aisle 35 Ais le 31 Ga te 6 le Ais 32 Ais le 33 34 Aisle Gate 5 Wurundjeri Way If you’re purchasing a reserved seat for the first time, or you’d like to request a different seat, you’ll need to fill out a Seating Request Form which can be downloaded from membership.carltonfc.com.au oa rd le Ais 44 Ais le 30 le Ais 29 8 le 2 le Ais Ais e 46 Aisle Aisl 27 Aisle 26 CHEER SQUAD HOME Aisle Aisle 25 CHEER SQUAD AWAY 45 Aisle 48 Gate 7 CHEER SQUAD HOME Gate 2 CHEER SQUAD AWAY Aisle 1 Aisle 24 Aisle 2 Aisle 23 Aisle Aisle 22 La Trobe Street 3 Gate 47 Ais le Ais le 21 Ais rd oa Ais Ais le le 20 Gate 1 4 5 6 Sc or eB le 3 LiveWire Entry Ais Ga 9 le le le Ais Ais 18 7 te Ais le 8 Aisle le 9 Ais 10 Aisle 12 11 Aisle Aisle 13 19 15 Aisle 14 Aisle le 16 Ais 17 8 te Ga Ais le Harbour Esplanade REGISTERED MEMBERS Champions Club (Level 2) Members Reserve (Level 1) Cheer Squad Reserve Cheer Squad Reserve Captains Club Premium (Level 2/3) Family Bay Captains Club Reserved (Level 2) Captains Club General Admission Social Club Room Social Club Room Champions Club Room Champions Club Room Captains Club Reserved (Level 1) Away Reserved Seating Captains Club Reserved and Members Reserve (Level 3) Cheer Squad Full An applicant for Ordinary Membership, 18 years or above, who pays, or enters into an agreement to pay by instalments, the annual subscription fee which entitles him or her to attend, at a minimum, all home games of the Club or Country and Interstate membership, is automatically eligible to be registered as an Ordinary Member of the Club subject to Board approval. All Members of the Club are bound by the Constitution. Applicants cannot be a nominee or trustee of another person nor hold or be entitled to hold any other membership of the Club. If the Club is wound up, Members and those who ceased to be Members within a year of the winding up are required to contribute up to $50 to the assets of the Club. PRIVACY POLICY Champions Club (Level 2) Members Reserve (Level 1) Cheer Squad Reserve Captains Club Premium (Level 2/3) Family Bay Social Club Room Captains Club Reserved (Level 2) Captains Club General Admission Champions Club Room Captains Club Reserved (Level 1) Away Reserved Seating Captains Club Reserved and Cheer Squad Full Members Reserve 3) The AFL and AFL Clubs including Carlton are subject to the(Level Privacy Act 1988 (Cth). By providing the AFL and Carlton with personal information, you consent to that information being collected, used, disclosed and stored in accordance with the AFL & AFL Club Privacy Policy (which may include use for promotional and direct marketing purposes). The AFL & AFL Club Privacy Policy is accessible at http://www.carltonfc.com.au/privacy or by contacting the Carlton Football Club on 1300 CARLTON (1300 227 586). The AFL and Carlton do not otherwise disclose personal information without your permission unless the disclosure is: §§ in accordance with the AFL & AFL Club Privacy Policy; or §§ required or authorised by law, including without limitation the Australian Privacy Principles under the Privacy Act 1988 (Cth)
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