Thank you for logging on to activate your EnergyAustralia Junior Football Membership. Once you have completed the activation process you will automatically go into the draw to win one of the following great prizes thanks to EnergyAustralia:

• a Taronga Zoo 'Roar and Snore' experience with overnight stay for 2 adults & 2 children;
• an 8GB iPod Touch;
• a signed and framed Mariners jersey; or
• a signed and framed Mariners ball

---

Fill in the form below to activate your membership now!

First Name:

Last Name:

Member Number:

Email:

Email (confirm):

Mobile Number (optional):

Registered Club: === select one === Avoca Berkeley Vale Budgewoi Central Coast Lightning Central Coast Thunder Doyalson East Gosford Gosford Gwandalan Kanwal Kariong Killarney Kincumber Mountains Ourimbah Southern Ettalong Terrigal The Entrance Toukley Tuggerah Umina Woongarrah Woy Woy Wyoming Wyong Other

Terms & Conditions

The EnergyAustralia Junior Football Membership card is valid for Blue General Admission category at all Mariners 2010/11 Hyundai A-League home matches.

The Mariners reserve the right to restrict access to the first 3,000 EneryAustralia Junior Football Members through the turnstiles on match day if venue capacity constraints exist.

Download Terms & Conditions (PDF)

Submitting this form indicates that you agree with the Terms & Conditions above.

---