COMPOSITE LOGO - ORDER FORM PLEASE PRINT CLEARLY IN CAPITAL LETTERS My Tennis ID:______________________________________________________________________________________ Given name/s:_____________________________________________________________________________________ Surname:__________________________________________________________________________________________ Email:____________________________________________________________________________________________ Mobile:___________________________________________________________________________________________ ¨ I have agreed to the Licence Agreement for use of the Tennis Logo found on the Tennis Australia website. ¨ I have forwarded a Vector EPS version of my logo with this form. Item Cost Composite Logo $99 This document becomes a tax invoice for GST purposes upon payment. Please retain a copy for your records. Tennis Australia ABN 61 006 281 125. Payment Please enclose cheque made payable to Tennis Australia or provide credit card details below. ¨ Visa Card number: ¨ Mastercard ¨ Amex ���� ���� ���� ���� ���� Expiry date:______/_________ Credit card verification code (last 3 digits on reverse of card) Please note: If you are paying by AMEX, this number is four digits. Cardholder’s signature:___________________________________________________________________________________________ Cardholder’s name as appears on card:_____________________________________________________________________ E-mail, fax and mail orders accepted Tennis Australia, Coach Membership Private Bag 6060, Richmond VIC 3121 T: 1800 PLAY TENNIS (752 983) F: 03 9650 1040 E: [email protected] INTERNAL USE ONLY Date Received________________________ ¨ Added into My Tennis ¨ Sent to Marketing ¨ Paid
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