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CSSC Membership Form

Memberships for 2010 now open.

Name * First Last
Date of Birth * DD / MM / YYYY
Address *
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Phone (Best contact number) *
Gender *
Male Female
Email Address *
Membership Package *

For more information on the different membership packages, visit www.cronullasupporters.com.
Additional Season Seat Options
Name on Seat - $50 Voting Rights - $35 Pre-Order 2010 Members Jersey - $199 11 Game Car Parking - $150 6 Game Car Parking - $80 Postage (Individual membership) - $12 Postage (Family membership) - $24

These options are available only to CSSC members purchasing a Season Seat package in 2010.

If you are unable to pick up your season pass from the Sharks Leagues Club, please select the relevant postage option.
CSSC Shirt Size *
I have read and agree to the terms and conditions of joining the CSSC. Click here to read the CSSC terms and conditions. *
Yes
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