QRU STAFF AND PARTNER MEMBERSHIP FORM

YOUR DETAILS Title: First Name: MyRugbyID: Surname: D.O.B: / / Street: Home: Suburb: Mobile: State: Postcode: Email: ADDITIONAL MEMBERS

Full Name: Email: D.O.B: / / Full Name: Email: D.O.B: / / Full Name: Email: D.O.B: / / Full Name: Email: D.O.B: / / Full Name: Email: D.O.B: / / CHOOSE YOUR PACKAGE Membership Type: Membership $ Quantity - Adult: Concession: Junior: Family 4: Family 2: Total: BRISBANE GLOBAL RUGBY TENS TICKETS • All ten Australian and New Zealand clubs TWO DAY PACKAGE* plus Toulon, the Blue Bulls, Samoa and the Panasonic Wild Knights Qty Adult Qty Conc. Qty Junior • Ten-players-per-side, ten-minutes-per-half, Platinum $217.95 NA NA knockout tournament • Over AU$1.6 million in annual prize money Gold $181.35 $163.15 $117.25 • 18 man squads with unlimited interchanges Silver $126.40 $108.10 $80.60 • Sanctioned by the Australian Rugby Union and Bronze $90.70 $72.35 $54.05 the New Zealand Rugby Union White $69.00 $69.00 $49.00

Total: $

*Includes 10% discount for being a 2017 St.George Queensland Reds member. Ticketek transaction fees apply. Only valid until 30th November 2016. REDS FOUNDATION

I would like to make a donation to the Reds Foundation. $20 $50 $100 Other $

PAYMENT DETAILS

Credit Card Visa Mastercard AMEX Email [email protected] Payment Plan Annual Rolling Payment Mail Return this completed form to: St.George Queensland Reds Membership 12 Month Payment Plan PO Box 3458 *All orders on the payment plan will be processed through DebitSuccess. Newmarket A $5 set up fee & 3% administration fee applies. QLD 4051 Visit redsmembership.com.au for Terms & Conditions.

Grand Total: $ + Service & Handling Fee $3.95 $ = Total Amount $ Card Number: Expiry (dd/mm): CCV: Name on Card: Card Holder’s Signature:

I authorise Queensland Rugby to adjust the total amount if any errors are found in my calculations. ACCEPTANCE

Member Name: Signature:

By signing this form I agree to abide by the regulations of Queensland Rugby and its Code of Conduct and the Membership Terms and Conditions as outlined at www.redsmembership.com.au. Once payment is processed, members will receive an email and tax invoice confirming payment. QRU STAFF AND PARTNER MEMBERSHIP FORM

FULL SEASON MEMBERSHIP Attend all St.George Queensland Reds 2017 regular season home games

ADULT CONCESSION JUNIOR FAMILY OF 4* FAMILY OF 2*

RUBY $990 $990

PLATINUM $315 $220 $130 $730 $365

GOLD $180 $160 $100 $530 $265

SILVER $175 $140 $80 $440 $220

THREE GAME MEMBERSHIP Attend ANY 3 St.George Queensland Reds 2017 regular season home games

ADULT CONCESSION JUNIOR FAMILY OF 4* FAMILY OF 2*

PLATINUM $140 $110 $60 $330 $165

GOLD $85 $75 $50 $240 $120

SILVER $80 $65 $40 $200 $100

FLEXI $80 $65 $40 $200 $100

SUPPORTER MEMBERSHIP Stay connected to the St.George Queensland Reds even if you can’t attend a game.

ADULT FAMILY OF 2 FOREVER RED RED $60 $75 TODDLER $40 BABY RED $40 *Family of 4 (four) consists of 2 (two) Adults and 2 (two) Juniors. Family of 2 (two) is 1 (one) Adult and 1 (one) Junior. **Please note a $3.95 service & handling fee applies per order.

STADIUM MAP Suncorp Stadium HALE STREET 726 725 724 723 722 721 720 719 718 717

GATE 727 716 C 728 CORPORATE SUITES E601 - E626 715

729 714 527 526 525 524 523 522 521 520 519 518 517 516 730 528 CORPORATE BOXES E430 - E490 515 713

327 Stadium Members 316 326 325 318 317 529 328 315 514 324 323 322 321 320 319 731 329 314 712 FAMILY ZONE GATE EASTERN STAND GATE 530 330 SOUTHE R 313 513 D 732 711 B MI L 531 331 AN D 312 512 TON ROAD SCREEN

733 VIDEO 710 511

332 N 311 RN S T 532

VIDEO E S 734 SCREEN 709 H T AN D 533 333 T 310 510 GATE GATE CAXTON STREET 735 708

E 534 334 NO R 309 509 A WESTERN STAND 736 335 308 707 535 336 307 508 339 340 301 302 303 304 337 338 305 306 536 507 LEGEND 737 706 CORPORATE SUITES W401 - W430 506 RUBY 738 705 PLATINUM LEGEND CORPORATE SUITES & BOXES W501 - W560 704 GOLD RUBY SILVER ALCOHOL FREE ZONE 638 639 640 601 602 603 604 PLATINUM CORPORATE STADIUM MEMBERS CASTLEMAINE STREET GOLD RED ROOM GATE SILVER MEMBERS BAR F ST. GEORGE BANK CLUBHOUSE GENERAL ADMISSION