2019 Steel VIP Members Form

Membership renewals to be processed through our venues from November 21 to November 30, 2018. Existing members wishing to add or change *2019 STEEL VIP JUNIOR MEMBERSHIP seats can do so from December 1 to December 3, 2018. New memberships on sale from December 5, 2018. Please supply full Name and Date of Birth for all junior Memberships MEMBERS DETAILS NEW RENEWING We need a membership form filled out for each household address to ensure all Steel members receive important communication. An extra form to fill in for member seats currently under your name that don’t reside at your address is enclosed, available from our venues or can be printed off our website. Providing these details will result in improved comunication to keep all Steel VIPs up-to-date.

First Name/s

Surname NEW MEMBERS Company (if applicable) Please indicate any preferences for your Steel VIP Member seats Address Courtside Goal End Limited Mobility Area Wheelchair Suburb City Postcode MEMBERSHIP PROCESSING Phone It’s as simple as submitting this form in person, by post or email

Mobile ILT Email addresses PH: 03 219 9310 22 Surrey Park Road, POST: PO Box 888, Invercargill 9874 EMAIL: [email protected] IMPORTANT: Most of our communications will be via email or text so please supply email addresses and mobile numbers for all Steel Members in your household so we can keep everyone up to date. PH: 03 456 1200 116 Portsmouth Drive, Anderson’s Bay, 2019 STEEL VIP MEMBERSHIP Dunedin 9012 POST: PO Box 590, Dunedin 9012 5 GAME Adult Student Junior* Invercargill $155 $105 $65 EMAIL: [email protected] Qty _____ Qty _____ Qty _____ $ PAYMENT 2 GAME Adult Student Junior* Ticket service fees may apply Dunedin $60 $40 $24 Qty _____ Qty _____ Qty _____ $ INCLUDE CHEQUE (payable to ILT Stadium Southland or Edgar Centre) Invercargill Adult Student Junior* Super $95 $65 $40 CREDIT CARD Sunday Qty _____ Qty _____ Qty _____ $

* NB: Juniors - 16 years of age and under. Student - Tertiary or High School with ID

DELIVERY post out $3.00 $ VISA MASTERCARD PICK UP from ILT Stadium Southland Edgar Centre Plus Ticket Direct transactional fees ($2.50 per ticket) $ Name on card Steel End-of-Season CELEBRATION DINNER Early-Bird price of $55 per person Qty _____ $ Expiry Date

CASH/EFTPOS (in person at ILT Stadium Southland or Edgar Centre) GRAND TOTAL $

Please note that the ANZ Premiership Finals Series is not owned by the home team. All semis and finals are owned by the ANZ Premiership competition. This means South is not able to guarantee the same seat to a semi or final that you have had during the round-robin. However if you have purchased a 2019 Steel Membership you will be guaranteed the option to purchase a ticket to a semi final or final if hosted by the .