Card number: COMPOSITE LOGO - ORDER FORM

COMPOSITE LOGO - ORDER FORM
PLEASE PRINT CLEARLY IN CAPITAL LETTERS
My Tennis ID:______________________________________________________________________________________
Given name/s:_____________________________________________________________________________________
Surname:__________________________________________________________________________________________
Email:____________________________________________________________________________________________
Mobile:___________________________________________________________________________________________
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I have agreed to the Licence Agreement for use of the Tennis Logo found on the Tennis Australia website.
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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.
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Visa Card number:
¨ Mastercard
¨
Amex
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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