BY MAIL: Return this form to: Perth Wildcats Membership, PO Box 455, Wembley WA 6913 (Please don’t send cash)EMAIL: Email a scanned copy of your application form to membership@wildcats.com.auIN PERSON: Drop this form to Perth Wildcats - Bendat Basketball Centre 201 Underwood Avenue, Floreat WA 6014

2019/20 MEMBERSHIP APPLICATION FORMP E R T H W I L D C A T S

First Name:

Mobile:

Suburb:Address:

Email:

Referred by:

Master // Mr // Mrs // Miss // Ms // Dr

Master // Mr // Mrs // Miss // Ms // Dr

Surname:

Phone (H):

State: Postcode:

D.O.B:

First Name:

Mobile:

Suburb:Address:

Email:

Referred by:

Surname:

Phone (H):

State: Postcode:

D.O.B:

First Name:

Master // Mr // Mrs // Miss // Ms // Dr

Surname:

D.O.B:

First Name:

Master // Mr // Mrs // Miss // Ms // Dr

Surname:

D.O.B:

First Name:

Master // Mr // Mrs // Miss // Ms // Dr

Surname:

D.O.B:

First Name:

Master // Mr // Mrs // Miss // Ms // Dr

Surname:

D.O.B:

PRIMARY MEMBER [A]

MEMBER [B]

MEMBER [C]

CHILD 3

CHILD 2

CHILD 1

ADULT 2

MEMBER DETAILS FAMILY MEMBERSHIP DETAILS

First Name:

Mobile:

Suburb:

Address:

Email:

Referred by:

Master // Mr // Mrs // Miss // Ms // Dr

Surname:

Phone (H):

State: Postcode:

D.O.B:

I am the primary contact for a Wildcubs or Pet membership. Please complete Member B-C section for Wildcubs or Pet membership.

DO NOT complete this section if ONLY purchasing a family membership.ADDITIONAL MEMBERS DETAILS

To add more members please download the Additional Members Form at membership.wildcats.com.au and attach to this form.

PAYMENT DETAILS & OPTIONS

Card Number:

Name:CVV:Expiry:

Clever ‘Cat Full Payment PlanCredit Card Clever ‘Cat Part Payment Plan [Mastercard and VISA only]

Inc. GST$TOTAL AMOUNT:

Cheque/Money Order

Category Price Qty

Captains Club Adult $1,679

Platinum Adult $1,469

GoldAdult $999

Family [2x2] $2,899

Silver

Child $499

Adult $709

Family [2x2] $2,019

Family [2x3] $2,419

BronzeChild $239

Adult $399

WheelchairWheelchair $189

Attendant $189

Supporter

Non-Ticketed $69

Standard $155

Silver Seating $189

Diamond Seating $239

Tertiary Student $69

Wildcub Child $75

Pet Sup-paw-ter Pet $55

Please note this this is a seating request. While the Perth Wildcats will do their best to allocate the seating requested, seats are subject to availability and there is no guarantee they will be allocated

Select your preferred seating option below. Please nominate your preferred 3 blocks (e.g. 214, 215, 213).

Category:

I would like to sit with:

Additional Comments:

1. 2. 3.

TERMS AND CONDITIONSBy submitting this form you accept the terms and conditions of the Clever ‘Cat Payment Plan and that your membership seat/s will automatically be renewed each season until you elect to opt out during the relevant renewal periods to be announced by the club. You also acknowledge that you are bound to the terms and conditions stated on the Perth Wildcats membership page.

THE PART PAYMENT SCHEDULE IS AS FOLLOWS:

1st Payment: Date application is processed

2nd Payment: 15 May 2019

3rd Payment: 15 June 2019

4th Payment: 15 July 2019

5th Payment: 15 August 2019

6th Payment: 15 September 2019

7th Payment: 15 October 2019

8th Payment: 15 November 2019

9th Payment: 15 December 2019

10th Payment: 15 January 2020

CLEVER ‘CAT PART PAYMENT PLANThe Clever ‘Cat Part Payment Plan makes being a member simple and

more affordable, with the annual membership fee payable in ten monthly instalments across each season.

Payments are charged to the nominated VISA or Mastercard each month beginning when a membership renewal or application form is processed.

Members who join the Clever ‘Cat Part Payment Plan after the first scheduled payment on 16 April 2018 will have the number of required

payments deducted to bring them up to date with the schedule and then subsequent payments at each specified date.

2019/20NEW MEMBER PRICING Bronze

Child $239

Adult $399

Silver

Child $499

Adult $709

Family [2x2] $2,019

Family [2x3] $2,419

GoldAdult $999

Family [2x2] $3,049

Platinum Adult $1,469

Captains Club Adult $1,679

WheelchairWheelchair $189

Attendant $189

CAPT

AIN

S CL

UB

PLAT

INU

M

GOLD

SILV

ER

BRO

NZE

WH

EELC

HA

IR

FLEX

I

SUPP

ORT

ER

TERT

IARY

Reserved seating to all 14 home games of the regular 2019/20 season ü ü ü ü ü ü

Perth Wildcats Captains Club Polo Shirt ü

Reserved parking at Perth Arena^ ü

Two complimentary entry level tickets to a Perth Wildcats regular season home game for your friends or family, including access to the post-game members function* ü

Perth Wildcats members card and lanyard ü ü ü ü ü ü ü ü ü

Perth Wildcats members badge ü ü ü ü ü ü ü ü ü

Perth Wildcats members bumper sticker ü ü ü ü ü ü ü ü ü

Perth Wildcats members season fixture magnet ü ü ü ü ü ü ü ü ü

Access to post-game members functions ü ü ü ü ü ü ü ü ü

Priority access and discount on finals tickets ü ü ü ü ü ü ü ü ü

Membership renewal benefits for the 2020/21 season ü ü ü ü ü ü ü ü ü

Entry to Perth Wildcats Fan Day ü ü ü ü ü ü ü ü ü

Discounts on merchandise ü ü ü ü ü ü ü ü ü

Discounted tickets to the Perth Wildcats MVP Ball ü ü ü ü ü ü ü ü ü

Exclusive invitation to member only events ü ü ü ü ü ü ü ü ü

Voting rights for the members MVP Award ü ü ü ü ü ü ü ü ü

Perth Wildcats members eNews ü ü ü ü ü ü ü ü ü

Free public transport to and from home games ü ü ü ü ü ü ü ü ü

Access to Red Army Rewards ü ü ü ü ü ü ü ü ü

Perth Wildcats Supporter t-shirt ü ü

The choice of 4 or 7 tickets to home games of the regular 2019/20 season* ü

Two entry level tickets to a Perth Wildcats regular 2019/20 season game of your choice* ü

Access to half price tickets two days prior to tip-off to any regular season home game ü

^A parking fee will be charged. Only valid for the regular season. *Tickets are subject to availability, do not apply to high demand games and non-ticketed supporter membership.

MEMBERSHIP2019/20

APPLICATION FORM