EmailMe Form - 2019 WOLFPACK SUPPORTERS CLUB APPLICATION FORM

Supporter's Name *

First Last

Company Name

Guardian's Name (if a minor)

First Last

Postal Address *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

Phone *

### - ### - ####

DOB *

DD / MM / YYYY

Email *

SUPPORTER'S CLUB OPTIONS

Wolfpack Supporter's Pack Basic GA - CHILD (16 & Under) - (scarf, hat & Beanie ) - $45

Wolfpack Supporter's Pack Basic GA - CONCESSION (full time student, senior) - (scarf, hat & Beanie ) - $99 (save $55)

Wolfpack Supporter's Pack - no game entry - (scarf, hat & Beanie ) - $45

Wolfpack Supporter's Pack -Single Adult - (scarf, hat & Beanie ) - $140 (save $70)

Wolfpack Supporter's Pack GA - FAMILY PACK - 2 adults + 2 child - (scarf, hat & Beanie ) - $240 (save $120)

Wolfpack Supporter's Pack Corporate - (scarf, hat, Beanie plus entry into the corporate area - inc. food and beverages for the home games) - $1320

* GA = general admission entry to all regular season games

If you have selected a FAMILY PACK please complete this section

	First Name	Surname
Adult Supporter 1 Name
Adult Supporter 2 Name
Child Supporter 1 Name
Child Supporter 2 Name

Number of Passes Required

	Number of Passes
Concession Supporters Pack at $99 each
Adult Supporters Pack at $140 each

Please select your delivery method *

I acknowledge that the Wolfpack Supporters Club Terms and Conditions and the Wollongong Wolves Football Club Ltd Privacy Policy can be viewed on the Club’s website at www.wollongongwolves.com.au. By selecting "I confirm" below I am confirming that I have read both documents and agree to be bound by them. *

* GA = general admission entry to all regular season games

An invoice will be emailed to you shortly. Payment options will include Cash, Cheque, Direct Deposit or Credit Card