2020/21 BIG BASH SEASON MARVEL STADIUM – MEDALLION CLUB SEATS Please print out/scan/photograph this form & return a signed form to Premium Seats: Booking Form Email: [email protected] Fax: (03) 8672 0772 - Level 2 - Medallion Club seats - Tickets will be sent by SMS as E-Tickets - Bookings must be made in multiples of 2 – either 2 or 4 tickets

Name: ______Company: ______(Cardholders name) (if applicable) Street Address: ______(PO Box addresses not permitted) City: ______State: ______Post Code: ______

Phone: ______Mobile: ______

Email: ______

Please reserve the following Marvel Stadium – Medallion Club tickets: Date Big Bash Matches No. Price Total (incl. GST)

Wed, 20 Jan 2021 Renegades v tickets @ $100 per ticket .00

I hereby confirm this booking and agree to be bound by the terms and conditions: Signature: ______Date: ______

Please tick one of the payment options below:

1. Credit Card Amount $ ______* 2% surcharge $ ______Total $ ______* Please note: Credit card payments incur a 2% surcharge. Please tick your card type. Credit Card ID (CVN) Visa MasterCard Amex Diners not accepted. 3 or 4 digit ID number:

Credit Card Number: Expiry /

Cardholder’s Name: ______Cardholder’s Signature: ______

2. Electronic Transfer Premium Seats - ANZ Bank BSB No. 013445 Account Number 297148849 Please place your company name or surname in the bank transfer reference.

Premium Seats office use only TERMS AND CONDITIONS 1. Premium Seats requires full payment with signed booking form from client as confirmation of ticket booking. Amount: $ 2. Signed Booking Form and payment is considered confirmation of our trading terms. Date: / / 2021 3. Once the packages are purchased they are non-refundable and non-exchangeable. 4. Credit card payments incur a 2% transaction fee. Method: 5. Bookings must be made in multiples of 2 – either 2 or 4 tickets. Database: 6. Allocation of tickets is final and there can be no exchange or transfer. Confirm: 7. All packages are subject to ticketing agency service fees, which are included in the total ticket/package price listed. 8. Tickets will be sent directly to attendees’ mobile phones by SMS. SS: 9. Booking confirmation is subject to availability. 10. Allocation of tickets is final and there can be no exchange or transfer. 11. By completing this booking form you agree to receive marketing and promotional material about upcoming events from Premium Seats by email, SMS and post. If at any time you wish to stop receiving such communications, please let us know. 12. Premium Seats cannot accept any responsibility for any cancellation of, rescheduling of or changes to the event or for the acts, omissions or errors of those over whom we have no direct or exclusive control. 13. Premium Seats does not accept any liability or responsibility for any injury, loss or damage of whatsoever nature (including any consequential loss or damage) or additional expense incurred or sustained by the client arising out of or as a consequence, whether direct or indirect, of any of the corporate entertainment services in connection with this package provided by Premium Seats. 14. The Client is fully responsible for its own conduct and the conduct of those attending the event as guests of the client and will be liable for any damage or loss caused by such conduct, and indemnifies and holds harmless Premium Seats against any and all liability for loss or damage of whatsoever nature (including any consequential loss or damage) incurred or sustained by Premium Seats as a result of any act or omission of the client and its guests.

Premium Seats - ABN 16 488 230 416 TAX INVOICE This document will be a tax invoice for GST when payment is made. 6 Bokhara Road, Caulfield South, VIC 3162 Telephone: (03) 9529 1955 Facsimile: (03) 8672 0772 www.premiumseats.com.au