city rewards

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ALL * fields should be mandatory

	1 year membership
	2 year membership
	Promotional membership
	Enter promotional code

contact details

Name:*

Surname:*

Address:*

Suburb:*

State:*

Postcode:*

Phone:*

Mobile:

Email:*

You must supply an email address – that’s how we keep you in the know with what’s on in the city.

Please confirm you are over 18 years of age* Yes No

Age: 18 - 24 25 - 34 35 - 43 44+

I want to be rewarded in the city with (can select as many as appropriate)

Shopping	Dining
Nightlife	Accommodation
Entertainment	Health & Beauty
Invitations to exclusive events

How did you hear about the city rewards program?

Credit card application

Method of Payment

Amount:
Credit card type:*
Cardholder’s Name:*
Credit Card Number:*
Credit Card Expiry Date:*

Terms and Conditions

The city rewards program is managed by The Pegasus Group Australia (ABN 26 522 378 014). Membership is for 12 months or 24 months from the date of issue, and is non-refundable and non-transferable. I agree that my details may be given to associated third parties for related marketing or promotions. The Pegasus Group Australia reserves the right to cancel or suspend a membership if there is a breach of the terms and conditions. I agree to ensure that to receive ongoing, uninterrupted membership to city rewards my nominated account will be debited the applicable standard one year membership fee on renewal. I understand I have 30 days from this renewal to cancel my membership and receive a full refund for that renewal.

I have read the terms and conditions of the city rewards program and agree to abide
by them.*