| Document Date: 2014-06-12 21:51:54
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Company Virgin Australia / Us. / Virgin Australia Airlines Pty Ltd / / Country Australia / / / Event M&A / Business Partnership / Security Buyback / / Facility Virgin Australia lounge Rules / Virgin Australia lounge Terms / Lounge Member / Lounge Membership / Virgin Australia lounge Membership / Virgin Australia lounge / Virgin Australia lounge Facilities / Lounge Occupants / Virgin Australia lounge Conditions / Lounge Occupant / Virgin Australia lounge Website / Australia lounge / Lounge Conditions / / IndustryTerm internet access / Online Passes / Online Corporate Scheme / onward travel / applicable privacy law requirements / travel organisation / lounge services / Online Single Entry Pass / relevant services / unused Online Passes / purchase Online Passes / Online Industry Scheme / Online Sale Conditions / Online Pass / / Organization Velocity / / Person Membership / Guest / / Position accountant / tax adviser / Scheme Coordinator / Coordinator / e.g. driver / Scheme Coordinator / the Scheme Coordinator / assigned Scheme Coordinator / / Product Corporate Membership / Industry Membership / Membership Card / Membership / / ProvinceOrState Queensland / / URL www.virginaustralia.com/Personal/Services/TheLounge/MyAccount/index.htm / http /
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Member Benefits Special Offer First Name (as listed in Velocity profile) _____________________________________________________ Last Name (as listed in Velocity profile) ___________________________________________________