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Membership Application/Payment Form
Name
*
First
Last
Phone Number
*
Email Address
*
Address
*
Suburb
*
State
*
Postcode
*
Membership Category
*
Inner Sanctum - $1000
Whales Group - $500
Family/Spouse - $150
Adult - $100
Pensioner - $50
If Inner Sanctum or Spouse Membership package is selected, please provide second/spouse name.
Name
*
Payment Method
*
Bank Transfer *
Cash
Cheque **
Credit Card ***
Eftpos ***
* Preferred payment method
**
Cheques to be made payable to "Donvale Football Club"
*** We will be in contact with you to obtain card details.
Bank Transfer Details
Bendigo Bank
Account Name: Donvale Football Club
BSB Number: 633 000
Account Number: 126742717
Please include your surname in the
transaction reference
Submit
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