ORDER FORMTo purchase a “$100 Carlton Football Club Preseason Lottery” ticket with your chance to win, please complete the form below and mail to: Carlton FC “$100 Carlton Football Club Pre Season Lottery” Promotion, 65 Popes Rd, Keysborough, Vic, 3173. Or ring 1300 788 995 to speak to a sales representative.

Please USE BLOCK LETTERS and a BLACK BALL POINT PEN

Mr Mst Mrs Ms Miss Dr

First name

Surname

Street

Suburb

State P/Code

D.O.B D D / M M / Y Y

Phone (H)

Phone (W)

Mobile

Email

Payment Details Cheques and Money Orders to be made out to: “Carlton Football Club”

Number of Donations

x $100 per card

Credit Card Details:

Visa MasterCard AMEX

Name on Credit Card

Credit Card Number

Expiry Date / CVV No.

Total $ .

Card Holder’s Signature

Brief Terms & Conditions: Promotion commences on 1/12/14 and ends 12noon AEST on 27/3/15. Promotion is offered to members and supporters of the Carlton Football Club, aged 18 years and over. The Major Prize Draw will take place on 8/4/15 at 12noon AEST. The Major Prize Draw will take place at Footy Fundraisers, 65 Popes Rd, Keysborough, Vic, 3173. Winners of the Grand Prize and Second Prize will be notified by phone and mail, and published on www.carltonfc.com.au on 8/4/15. The Promoter is Carlton Football Club Limited of Visy Park, Royal Parade, Carlton North, Victoria. ABN 95 005 449 909. Telephone (03) 9387 1400. Authorised under VIC Permit No. 14/5911. For full Terms and Conditions please visit www.carltonfc.com.au

*Donation is not tax deductable

Carlton Football Club Preseason LotteryFooty Fundraisers 65 Popes Rd, Keysborough 3173Call: 1300 466 887Website: carltonfc.com.au/membership/fundraising-and-raffle

$100 Preseason Lottery

Carlton Football Club $100 Ticket 0000

� $25,000 Major Prize � $5,000 Second Prize � 2015 Team Signed Guernsey Monthly Prize (5)

$100 donation towards ensuring the players have access to the best training equipment in preparation for the 2015 season.

Make a $100 donation for your chance to win some fantastic prizes. With each donation you make you instantly go into the Major Prize Draw. Each entry will also have the chance to win one of five monthly prizes - a 2015 Team Signed Carlton guernsey.

Carlton Football Club $100 Preseason Lottery