Preston Lions Football Club - www.prestonlions.com

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Step 1
Application Form

Step 2
Payment

Step 3
Complete

APPLICANT DETAILS
Title	*
Name	*
Surname	*
Gender	Male Female*
Date of Birth	*
Address	*
Suburb	*
State	*
Postcode	*
Phone	*
Mobile	*
Email address	*
Concession Card Number (if applicable)	*
Were you a Member/Season Pass holder in 2010?	Yes No*

MEMBERSHIP DETAILS
CATEGORY	Adult - Price ($) (please tick)	Concession – Price ($) (please tick)
Makedonia 100 Club Membership	$1,000* OR $100* per game	$1,000* OR $100* per game
Gold Membership	$195*	$165*
Silver Membership	$120*	$90*
Bronze Membership	$80*	$80*
Season Pass	$70*	$40*

Concession memberships and season passes purchased via this website will NOT be mailed out, proof of concession entitlement will need to be presented to Preston Lions FC staff on match day at BT Connor Reserve BEFORE your membership pack is given. * If you intend to purchase multiple memberships and season passes please purchase them individually.

APPLICANT DECLARATION
I agree to be bound by the club’s Constitution and will abide by the FFV Spectators’ Code of Behaviour and Conditions of Entry at all venues for matches involving the Preston Lions Football Club.*

* Mandatory Fields