<p> NATIONAL AFL MASTERS CARNIVAL 2017 – GEELONG</p><p>1. Carnival Forms are to be given to Carnival Delegates who will in turn forward all forms to:</p><p>Gary Polglaze – 20 Balfour Street Geelong North 3215 or [email protected]</p><p>2. A deposit is not required. A final invoice will be sent out once numbers are confirmed. Payment is to be made by the mid-September.</p><p>Payment is to be organised through your Carnival Delegate. Bank Account details are as follows:</p><p>National Australia Bank Account Name: Victorian Country MAF Inc BSB: 083 909 Account Number: 68 746 7351</p><p>An email confirming payments is to be made to the above email address </p><p>3. We are looking at the possibility of two teams per age group so we encourage all players to put their names down.</p><p>4. A Vic Country Vest has been added to the range as it may be a bit cold in Geelong this year</p><p>5. A compulsory new Vic Country jumper is required this year. Sponsorship is still being sort for the jumper. If the sponsorship does not come through, an additional charge of $55 will be added to your account. NATIONAL AFL MASTERS CARNIVAL 2017 – GEELONG PREVIOUS PLAYER </p><p>Name: ...... Club:……………………………… Address:………………………………………………………………………………………Post Code……… Phone: (H)………………………… (W)……………………………………. (Mobile)………………… ……</p><p>Email Address………………………………………</p><p>Date of Birth:…………………… Playing division (please state) 35, 40, 45, 50, 55, 60</p><p>A: COMPULSORY-ALL PLAYER PAY ($450) </p><p>(Includes: Carnival Registration, Final Function, Team photo, Insurance, Umpires, Trainers, Trainers kits.) CARNIVAL JUMPER A new Vic Country jumper number is compulsory this year. Please put down your size and jumper number preference.</p><p>Jumper Size S, M, L, XL, XXL, XXXL Number 1st Pref. 2nd Pref. </p><p>No sleeves Long Sleeves B: OPTIONAL EXTRAS (ADDITIONAL COSTS): Playing Jumper $55 NO SLEEVES WITH SLEEVES S, M, L, XL, XXL, XXXL, XXXXL </p><p>Playing Shorts (draw string) $25 (Please state size required) S, M, L, XL, XXL</p><p>Shorts- $35 Dress $25 Casual (please state size required)</p><p>Dress 77, 82, 87, 92, 97, 102, 107,112 Casual S, M, L, XL, XXL, XXXL</p><p>Dress Pants. $45 (Please state size required) 72 through to 132</p><p>Carnival Polo Top $50 (Please state size required) S, M, L, XL, XXL, XXXL</p><p>Vest $40 (Please state size required) S, M, L, XL, XXL, XXXL</p><p>Socks: $12 ❑ Vic Country Bag $35 ❑ Bucket Hat $12 ❑ Cap $12 ❑ C: EVENTS Additional Final Function Ticket: $100 each $ Hall of Fame: $55 each $ A: Total Compulsory-All Players $ 450.00 B: Total Additional/Optional costs $ Total Carnival Costs $</p><p>Organize Payment through your Carnival Delegate</p>