Asia Pacific Veterans Cup 2007 21st - 24th June | |
Entries Close 31st March 2007 Final Payment 30th April 2007 Please send, fax or email this Form to: SOS International - P.O.BOX 6889 - Gold Coast M.C. 9726 - 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 ( )
All Monies to be Transferred to: National Australia Bank 27 Scarborough Street, Southport 4215 Australia BSB 084-917 Account No. 57-364-1593 International Swift Code: NATAAU3304B Credit to: SOS International Team Entry Fee A$ 20.00 - enclosed - sent: Yes - No ________________________ _____________________ Signature of Team Leader Date | |
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