2021 Mark Knight Premiership PREMIUM Print membership allocation application.

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* 1. Name (NAME MUST MATCH THE NAME ON THE MEMBERSHIP CARD)
You MUST complete a separate form for each member

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* 2. Email address

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* 3. Melbourne Membership number MEMBERSHIP NUMBER MUST MATCH THE NUMBER ON THE IMAGE OF THE CARD YOU UPLOAD. PLEASE ENSURE YOU PROVIDE YOUR MEMBERSHIP NUMBER, NOT YOUR BARCODE

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* 4. Please upload a clear photograph of your 2021 membership card or screenshot of your digital membership that shows both your name and membership number
ONE MEMBERSHIP CARD IMAGE PER UPLOAD

Requests that don't include a photograph will NOT be added to the membership allocation

PNG, JPG, JPEG, GIF file types only.