Membership Form Membership Registration Form Division Juniors Seniors Women's Name*Parent's Name*PhoneAddressMembership Number (if known):Email Address Allow photo and media release? Yes You need to be registered before the season begins: Click Here to Register You need to be registered before the season begins: Click Here to Register You need to be registered before the season begins: Click Here to Register Membership Type* None Single Social Membership $25 Family social membership $50 Single player/ Nomination $75 100's Club membership Total $ 0.00 Please forward payment via cheque or EFT Imperials Football ClubPO Box 382 ManjimupWA 6258 OR Imperials Football ClubBSB 036-126A/C # : 602220 Please remember to use your first and last name and/or your membership number as reference so we can identify your payment.Our club survives based on memberships and the generosity of sponsorship. Are you able to be a sponsor from as little as $110? Yes No OrganisationPlease Tick Preferred Sponsorship PackageSponsorship Type Premium Black & White Gold Silver Bronze Price $3300.00 $1100.00 $330.00 $110.00 Black & White Premium Sponsor $3,300.00 Advertising signs displaced boundary side and in clubrooms Website links to sponsor Membership for 4 People Reserved tickets for 4 People to annual Cabaret / Awards Evening 4 Club Shirts 2 Tickets in our Annual 100 Club Draw Free Entry to Home Games Recognition During the season at all Club Functions as one of the Premium Sponsors. Gold Sponsor $1,100.00 Light pole Sponsorship or 4.8m Boundary Line signage Sponsorship inside Clubrooms Membership for 2 People Reserved tickets for 2 People to annual Cabaret / Awards Evening 1 Ticket in our Annual 100 Club Draw Website links to sponsor Silver Sponsor $330.00 Sponsorship inside Clubrooms Reserved tickets for 2 People to annual Cabaret / Awards Evening Website links to sponsor Bronze Sponsor $110.00 Sponsorship inside Clubrooms Please forward payment via cheque or EFT Imperials Football Club PO Box 382 Manjimup WA 6258 Or Imperials Football Club BSB 036-126 A/C # : 602220 Please remember to use your first and last name and/or your membership number as reference so we can identify your payment.
