As the application form must carry an original signature, online membership
application is not available.
Please print, complete and send this form, along with the appropriate application fee, to:
Membership Coordinator,
Collingwood Football Club,
PO Box 165,
Abbotsford, Vic., 3067.
Victoria Park, Abbotsford, 3069. Telephone 03 9419 9222
| Mr. Mrs. Miss. (Surname): | |||||||||
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| Address: | Postcode: | ||||||||
| Business Address: | Postcode: | ||||||||
| Name of Company: | Position: | ||||||||
| Postal Address: | Postcode: | ||||||||
| Telephone Numbers: | Home: | ||||||||
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| Date of birth: | |||||||||
As an eligible candidate (and over 18
years of age) for election to membership of the
Collingwood Football Club as a:
I agree that, in the event of my election to Membership of the Collingwood Football Club, I will be bound by the Memorandum and Articles and By-Laws of the Club. |
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| Signature of nominee: | Date: | ||||||||
| Nomination fee must
accompany this form. Upon election to membership the Annual Subscription Fee becomes due and payable. |
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| Nominated by: | Medallion Number: | ||||||||
| Seconded by: | Medallion Number: | ||||||||
| Signature: | Years known applicant: | ||||||||
| Other club memberships: | |||||||||
| References (Please submit three names and addresses of people who, if necessary, will supply character references on your behalf). | |||||||||
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| Please complete and
return to Membership Coordinator, Collingwood Football Club, PO Box 165, Abbotsford, 3067. |
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OFFICE USE ONLY Referred by Nick's Collingwood Page |
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| Medallion number: | Season Ticket Number: | ||||||||
| Nomination Fee | Nomination | Membership Fee | Medallion | Committee Approval | |||||
|---|---|---|---|---|---|---|---|---|---|
| $ |  Accepted Deferred Rejected
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$ | Issued Sent |
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| Date: | Date: | Date: | Date: | Date: | |||||
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