Mcdonald Sponsorship Proposal

2016 Srixon International Sub-Junior Hosted by JNJG and Cessnock Golf Club Monday 3 rd October -> Friday 7 th October, 2016

Official Tournament Entry Form - $100 AUD (Including GST) (Entry Fee Includes Unlimited use of the Driving Range at Cypress Lakes Golf and Country Club)

Name - ……………………………………………………………… Sex – M or F DOB - ………/………/……… (dd) (mm) (yyyy) Address - …………………………………………………………………………………………………………………………………….

Country - …………………………………………………… State - ………………………… Post Code - ………….

Juniors Mobile Phone Number - …………………………………………………………………………………………………

Juniors Email Address - ………………………………………………………………………………………………………………

Parents Name - ……………………………………………. Mobile Phone Number - …………………………..

Parents Email Address - ……………………………………………………………………………………………………………..

Home Club - …………………………………………………………………… Golf Link - …………………………………..

Signature of Player - …………………………………… Signature of Parent - ……………………………………

Payment Method (please circle) – Cheque / Money Order Credit Card Direct Deposit

(When paying via Direct Deposit please write 16 Srixon followed by your Surname in the description) (When paying by cheque or money order, please make cheque / money order out to “Jack Newton Junior Golf”)

Direct Deposit Details – BSB: 082 080 ACCOUNT NUMBER: 028 259 241

Credit Card Details (please circle) – Visa MasterCard

Card Number - ………………… / ………………… / ………………… / ………………… Expiry - ……… / ………

Cardholders Name - ……………………………… Signature - ……………………………… CCV - …………

Please complete this form and return to JNJG Post – PO BOX A138 ARNCLIFFE NSW 2205 Fax – (02) 9567 7720 Email – [email protected] OFFICE DATE PAYMENT PAYMENT MYOB RECIPT REGISTERED ENTERED TYPE RECEIVED USE ONLY