Registration Form Please fill in all parts of the form and return to: Maree DeGeorge, Windermere Child & Family Services, 48 Webb Street, Narre Warren, VIC 3805 or email: events@windermere.org.au
Part A Sponsorship Packages ❏❏ Platinum Sponsor ($16,500)
❏❏ Drinks Cart Sponsor ($2,500)
❏❏ Gold Sponsor ($4,400) ❏❏ Silver Sponsor ($3,300)
❏❏ Cheese & Wine Marquee Sponsor ($2,500)
❏❏ Hole-in-One Sponsor ($2,500)
❏❏ 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
1 2 3 4
Part C Payment Details
Payment Method
Amount: $
❑ Credit Card Card Type:
Name:
Card Number:
Company:
Security No.:
Address:
Exp. Date:
Name on Card:
Signature:
Telephone:
❑ EFT/Direct Deposit
Email: Receipt made out to: ❑ Company
❑ Visa ❑ Mastercard
❑ Personal
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
BSB: 083 214 A/C: 518358277 Name: Windermere Child & Family Services REF: YourName GOLF15 (Your booking can not be finalised until we receive your registration details). ❑ Cheque (made out to Windermere Child and Family Services) ❑ Tax Invoice