facts

talk

SPRING 2012

MAY 2012 - JULY 2012

TIM WENDEN

CHATSWOOD

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Check out our Facebook page today!facebook.com/northsleagues

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Central Coast Bears MEMBERSHIPFirst Name/Surname M F D.O.B / / M F D.O.B / / M F D.O.B / / M F D.O.B / /

Address

Phone home/work Mobile

Email

Promo Code

PAYMENT OPTIONS

VISA MASTERCARD CHEQUE / MONEY CASH EFTPOS

Card Number Please make payable to: Central Coast Bears Expiry

Total

. Signature

MEMBERSHIP PACKAGES

BEAR NECESSITIESBear Necessities - 31/12/12 - $20Bear Necessities Family - 31/12/12 - $50

BEAR ESSENTIALSBear Essentials - 31/12/12 - $40Bear Essentials - Family - 31/12/12 - $100

Items Supplied Yes No

Red Cap

Black Cap

Member

Items Supplied Yes No

RCCB Caps

CCB Wristbands

CCB Stickers

Membership NumberMembers email updatesInvitation to members functions and eventsStickersWristband

Membership NumberMembers email updatesInvitation to members functions and eventsStickersWristbandSupporters cap

Contact Details Central Coast BearsPh 02 4304 8999 Fax 02 4304 8990

Erina Business Centre, 155 The Entrance Rd PO Box 3622 Erina NSW 2250 I www.centralcoastbears.com.au

Please note:Family membership packages comprise of 2 adults and 2 children and 4 x each item will be received.

Amount Paid Cash Credit

$

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bearsad_Col.pdf 1 13/03/2012 11:18:18 AM

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