Be a Seat Supporter!
BUY YOUR NAME ON A CHAIR
FOR ONLY $300*
Simply complete this form and hand it in to the office or email to:
[email protected]
For further information phone: 9913 3622
________________________________________________________________________
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Name: ...................................................................
Card number:
Telephone: .................................................................
Expiry: _
Email: ..........................................................................
Name on card: ...........................................................
_ /_ _ / _ _ _ _
CCV:
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Signature: ....................................................................
Text to appear on plaque
Name(s)/association: ....................................................................................................................................................
.................................................................................................................................................................(word limit 10)
*Price includes GST. NBISC reserves the right to edit text, or refuse purchase.
Seats and plaques remain the property of NBISC and do not give the purchaser exclusive rights to the seat.