Entry Forms - The Rotary Club of Portsmouth North
The Rotary Club of Portsmouth North Golf Day 4th June 2015 Our Main Sponsor 12 Livingstone Road, Southsea, Hants. PO5 1RT Mob:- 07926 072371 Home:- 02392 818755 Email:- [email protected] TEAM ENTRY FORM I would like to enter (no) ……… Team (s) @ £300.00 per Team Total £…………………………………….. VIP Package Range Rover Chauffeur Team Collection & Return with Wine on Table add £200 (per team) You will be contacted for your team collection and return points etc. (Limited availability) My full Name and Address (contact for all future correspondences) ……………………………………………………………………………………………………….. ……………………………………………………………………………………………………….. ……………………………………………………………………………………………………….. Tel:-............................................................... Mobile:-………………………………………….. Email:-………………………………………………………………………………………………… Your Team Name (s) ……………………………………………………………………………….. ……………………………………………………………………………………………………….... ………………………………………………………………………………………………………… I Enclose A Cheque for ………………….* payable to The Rotary Club of Portsmouth North Or for BACS Payments Lloyds Bank Account No 00613958 Sort Code 30-96-11 Post this form with payment to Chris Fairhall 12 Livingstone Road, Southsea PO5 1RT Or If BACS payment you can email the form to [email protected] *If you require an invoice to raise a payment please phone or email me and I will sent it out but please return this form to reserve your team place. I will acknowledge with a receipt for all payments made. (Sorry no card payments)
© Copyright 2024