2010 Membership Form (for offline payment)

Fill out the online form on this page and submit it when completed.

Contact Information:

Title*
Surname*
First name*
Address*
City, Suburb or Town*
State*
Postcode/Zip Code*
Date of Birth (dd/mm/yyyy)
Home Phone*
Work Phone
Mobile Phone*
Email*

Volunteer Service:

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Preferred method of communication:

Email
(This is the club's preferred communication method. You will also receive your communication more quickly and efficiently by email)
Postage

Membership Type:

Adult Concession
General Membership(no ticket) $55 $50
Membership with 5 Home Match Games $70 $55
Membership with Home Match Ticket $85 $60
Membership with Season Ticket $125 $75
Junior Membership (U18 only) $10
^ All prices include GST.
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Port Adelaide Magpies 0
Norwood 0
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Glenelg 0
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