windermere_golfday_registration-form

Registration Form

Send Form

Please fill in all parts of the form and return to: Bronwyn Sugden, Windermere Child & Family Services, 48 Webb Street, Narre Warren, VIC 3805 or email: events@windermere.org.au

Part A Sponsorship Packages p Platinum Sponsor ($16,500)

p Drinks Cart Sponsor ($2,500)

p Gold Sponsor ($4,400) p Silver Sponsor ($3,300)

p Cheese & Wine Marquee Sponsor ($2,500)

p Hole-in-One Sponsor ($2,500)

p Team Package Only ($2,200)

Part B Registration Details Team Leader Contact Details

Team Name:

Name:

Telephone:

Company:

Email:

Player Details Player name

Handicap Company

Email

1 2 3 4

Part C Payment Details

Payment Method

Amount: $

p Credit Card Card Type:

Name:

Card Number:

Company:

Security No.:

Address:

Exp. Date:

Name on Card:

Signature:

Telephone:

p EFT/Direct Deposit

Email: Receipt made out to: p Company

p Visa p Mastercard

pPersonal

BSB: 083 214 A/C: 518358277 Name: Windermere Child & Family Services REF: YourName GOLF16 p Cheque (made out to Windermere Child and Family Services)

Your privacy matters: we are proud of this event and use photos taken on the day to promote it amongst our supporter group. If you prefer your picture to remain private let us know by emailing: events@windermere.org.au

p Tax Invoice (Your booking can not be finalised until we receive your registration details and payment).