Tuesday, 23 April 2013 Kingston heath golf club. kingston road, cheltenham 3192. Application Form Platinum Sponsor
SOLD
Team Leader Contact Details
Gold Sponsor
Name
Silver Sponsor
Company
Hole-In-One Sponsor
Telephone
Drinks Cart Sponsor
Team Package Only
Player Details Player name
Handicap
Company
1. 2. 3. 4.
Payment Details Amount
$
Name Company Address Telephone Email Signature
Make out receipt in Company name Personal
Payment Options Tax Invoice Credit Card Card Type:
AMEX
Visa
Mastercard
Card No.: Security No.:
Exp Date:
Name on Card: Signature: Cheque (payable to ‘Windermere Child & Family Services’) Cheques to be posted to: Maree DeGeorge. Windermere Child & Family Services Inc. 48 Webb Street, Narre Warren VIC 3805
For further enquiries please contact Maree DeGeorge at Windermere on 9705 3460 or maree.degeorge@windermere.org.au