Fill out the form below before 12pm Saturday October 5, 2013 for your chance to win a double pass to watch the Sea Eagles take on the Roosters in the Grand Final.

Entrants will also go into the draw to win two 2014 Golden Wings Premium General Admission Memberships!

Tickets to be drawn at 12pm Saturday, Octobers 5, 2013. Membership prize will be drawn on Friday 11 October, 2013.

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* 1. First Name:

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* 2. Surname

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* 3. Email Address:

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* 4. Mobile number

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* 5. Are you a Sea Eagles Member?

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* 6. Would you like to receive information about 2014 Sea Eagles Membership?

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