Asia Pacific Veterans Cup 2009 1st - 4th October | |
Entries Close 31st July 2009 Final Payment 15th August 2009 Please send, fax or email this Form to: SOS International - P.O.BOX 7066 - Southport Park, QLD 4215 - Australia Email: info@sos-int.com.au - Website: www.sos-int.com.au - FAX: + 61-7-5532-5617 Team Name:.................................................................................................. Team Leader Name:....................................................................................... Address:....................................................................................................... Country:..................................Phone / Fax:................................................... Email:........................................................................................................... Age Group: Over 35 ( ) Over 45 ( ) Over 55 ( ) All Monies to be Transferred to: National Australia Bank 27 Scarborough Street, Southport, QLD 4215 Australia BSB 084-917 Account No. 57-364-1593 International Swift Code: NATAAU3304B Credit to: SOS International Team Entry Fee A$ 30.00 - Paid: Yes - No ________________________ _____________________ Signature of Team Leader(s) Date | |
| Back | |