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2015 CAAMM Cup
Entry Form & Team Registration
Entrant Details
NAME: __________________________________________________________________________________
ADDRESS: _______________________________________________________________________________
SUBURB: ______________________________________________ POSTCODE: ______________________
EMAIL: __________________________________________________________________________________
I Will be attending: (please choose 1 of the 3 options below)
Golf & Lunch: $150 per player
Team Name:
Player One Name:
Payment Options
Email
Account Name
Scott Martyn Foundation
ABN 66 228 384 017
Player Two Name:
Email
Player Three Name:
Bank - ANZ
BSB - 012 547
ACC - 215 457 024
Email
Player Four Name:
Email
To pay by card: please tick
Visa
Mastercard
AmEx
Card number:
Expiry: M M
Date: D D
Y
Security:
Y
M M
Y
Y
Total Order: $
Signature: ___________________________________________
Shelly Dempsey Memorial Luncheon: $50.00 per head ( for non-golfers)
Number of Attendees for Luncheon: ________________
The Shelly Dempsey Memorial Luncheon 10am - 1pm
To help celebrate the memory of Shelly who was an ambassador and played a huge part in the
ongoing success of the CAAMM Cup, a special luncheon will be help on the day in her honour. This
luncheon is designed for non-golfers who would like to contribute and have fun - without the need to
play golf.
Cost & Inclusions: $50.00 per head. Includes lunch, two drink vouchers, trivia
& fun games during luncheon, a special guest speaker & raffle prizes galore!
I will not be able to attend but please accept my donation of $_________