Golden Oldies Rugby Festival Brochure

M A R D E L P L ATA

ARGENTINA

21- 2 8 S E P T E M B E R

2 0 14

MAR DEL PLATA, ARGENTINA 21 - 28 September 2014

AY 8D T / FROM H IG S 7 N KAG E 99 1 C 1 A P S$ rson*

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www.goldenoldiessports.com

M A R D E L P L ATA

ARGENTINA

21- 2 8 S E P T E M B E R

2 0 14

Entry Form Golden Oldies World Rugby Festival Please accept the following entry to the 2014 Golden Oldies World Rugby Festival to be held in Mar Del Plata, Argentina, from 21–28 September 2014.

Team Manager

Title

First Name

Surname

Address

Street

Street No.

Suburb

City

Business

Home

Country Phone Fax Email Team Name Male

Total number in group

Female

Total

Entry Fee US$150.00 per team non refundable Credit Card

q Visa q Mastercard q Diners q AMEX

Charges: Visa/Mastercard 2.4% and AMEX/Diners 3.95% Credit Card No. Name on card Expiry date

Date

Signature Amount to be charged

Please Note: All payments must be in United States Dollars, (USD). Entries close 21 July, 2014.

Direct Bank Transfer: If you wish to direct-transfer the Entry fee our bank account details are as follows: ASB Bank Limited, 135 Albert Street, Auckland 1010, New Zealand Account Number: 26840783-USD-23 Swift Code: ASBBNZ2A Account Name: Golden Oldies Sports Limited Entry Fee: USD$150.00 per playing team Post to: Golden Oldies Sports Limited,

P.O Box 331 469, Takapuna 0740

Auckland, New Zealand