Hawaiian Airlines Harlequins Rugby Championship Please accept the following entry to the 2014 Hawaiian Airlines Harlequins Rugby Championship from 7-12 October, 2014. Team Manager
Title
First Name
Surname
Postal Address Suburb
City
Country Phone
Postal Code Business
Home
Fax Email Team Name Grade
Social
Club
Total number in group
Colts Male
Old boys
7s
Female
Entry Fee US$150 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 USD (US Dollars) 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: 26840661-USD-32 Swift Code: ASBBNZ2A Account Name: Vintage Sport and Leisure Limited Entry Fee: US$150 per playing team Post to: VSL Rugby, P.O Box 331 469, Takapuna 0740 Auckland, New Zealand
Total
#RUGBYINPARADISE
Entry Form
Mens and Womens
Club
Presents
#RUGBYINPARADISE
Social Colts Old Boys 7s VSL Rugby P.O Box 331 469, Takapuna, Auckland, New Zealand Phone: +64 9 486 1644 Fax: +64 9 486 1639 Email: rugby@vslevents.com
WWW.VSLRUGBY.COM
50th Anniversary Tournament October 7th - October 12th, 2014 Waikiki, Hawaii