Bounce of the Ball Registration and Payment Form
2016
For the first time Windermere Child & Family Services looks forward to welcoming you to football’s hallowed turf - The MCG as we join together to create change. Date:
Tuesday 22nd March
Time:
12:00pm - 2:30pm
I wish to register and purchase the following tickets:
Venue:
Members Dining Room, MCG Enter via Gate 2 Take lifts 5, 6 & 7 to Level 2
Includes:
2 course luncheon & beverages
Dress Code:
Business Attire
Single Tickets @ $175 each
Table of 10 @ $1750 each
9
5
Event Contact: Bronwyn Sugden on (03) 9705 3460 bronwyn.sugden@windermere.org.au
Summary of Tickets: $ 1575 Summary of Tables: $ 8750
Part A. Registration details.
Part B. Payment details.
Please register details for your booking to processed.
Select your payment method.
First Name:
Credit Card
Last Name:
Company:
Card No:
Address:
Exp:
Visa
Mastercard
/
Name on Card: State:
Amount:
Postcode:
$
Signature:
Phone: Email: Tick if you are registering on behalf of a company
EFT/Direct Deposit BSB: 083 214
A/C: 518358277
Name: Windermere Child & Family Services
Table Host/Name (please list the company or individual name your table should be listed under on the day)
REF: YourName BOB16 (Your booking can not be finalised
Make a donation.
Cheque (made out to Windermere Child and Family Services)
until we receive your registration details).
I am not able to attend but would like to make a tax deductible donation to Windermere for $ Please fill out your payment details and submit the form for processing.
Invoice me Registration will be complete once payment is received.
*Donations over $2 are tax deductible*
We look forward to seeing you there
Submit Form
Please submit form via email, or return to: Windemere Child & Family Services, 48 Webb Street, Narre Warren VIC 3805