ANZAC EVE LUNCH

ANZAC EVE LUNCH
M atch Day Pack age
PERSONAL DETAILS
Name: (Mr/Mrs/Miss/Ms)
Company:
Postal Address:
Suburb:
State:Postcode:
Phone (mobile):
E-mail:
Number of Guests: @ $ 350 Match Day Package
Total cost: $
(inc GST) Please tick if you require a tax invoice
Method of payment (please tick relevant box):
Visa
Amex
Mastercard
Diners
Bankcard
Cheque
Eft
Please invoice
please note: Amex and Diners payments incur a 4% processing fee.
Mastercard and Visa payments incur a 2% processing fee.
PAYMENT DETAILS
Credit Card No.
Expiry Date
Card verification number (last three digits on back of card):
Cardholder’s Name (as shown on card):
I verify that I am the owner of the above credit card and I authorise Elite Sports Properties Holdings P/L to
charge my card for the above purchases
Signature:Date:
EFT PAYMENTS
Please contact ESP should you wish to pay via EFT.
For any queries, please contact ESP on (03) 9421 3000
Please return this form by fax to (03) 9421 3300 or email ESP at croughead@elitesports.com.au / jrowlings@elitesports.com.au
Terms & Conditions
Return of this signed form constitutes a binding, irrevocable contractual commitment to purchase these tickets.
A tax invoice will be issued on request.
No ticket will be issued until payment is received in full.
The information collected is for the purpose of placing, processing and servicing your order only.
ESP respects your privacy and will not pass this data on to any third parties. ESP will keep this data on a secure database
and only reuse it to notify you of upcoming ESP events that may be of interest to you. If you do not wish to receive any further
information please contact us by mail at Level 4, 543-549 Bridge Road, Richmond, VIC 3121 and request to be removed
from this database.