MELBOURNEfc Lotto

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Terms

Winners

You MUST complete all details below for your chance to win

First Name:
Last Name:
Address:
Suburb:
State:
Postcode:
Daytime Phone No.:
Email:
Date of Birth:
Are you a MELBOURNEfc Member?: Yes No
MFC club member No.

Instructions
Registration is simple! Complete the form on the left and you will automatically be registered to take part in Lotto every week. Your credit card will be charged $26 (3 months), $52 (6 months) or $104 (12 months) and your weekly Lotto numbers will be forwarded to your email address every week. Cards will be charged periodically after this time as nominated, until you opt out.

To pay by cheque or money order, Click Here to download a printable registration form.

Promotion commences 27/08/10. Entries (for the lotto syndicate) close 1.30pm
on each Friday, until the Promotion is terminated by the Promoter.

*Credit Card Details*
Card Type:
Card Number:
Cardholder's Name:
Expiry Date:
Card CVV:	This is the last 3 digits of the number printed on the signature strip on the back of the card

Payment amount:

*Refer a friend (Optional)*
You may refer up to five friends to MELBOURNEfc Lotto. For each friend that you refer and who then sign up, you will receive an extra entry into the monthly prize draw.
Email 1
Email 2
Email 3
Email 4
Email 5


	Click here for Terms & Conditions