30/07/2010

*Team Name  
Manager
*First Name  
*Last Name  
Billing Address
*Address Line 1:  
*Address Line  2:  
*City:  
State / Province / Region:
Postal Code:
Country:  
Contacts
*Phone:  
*Email:    
Fax:
Optional Addresses
Postal Address (If different from Billing Address)
Manager Address (If different to Billing Address)
     
Team Age Grading:  
Number in Group  Estimated  
Players   
Supporters-Male  
Supporters-Female  
Total  
Accommodation Preferences    
Gold Category Number of Rooms Required  
Share Twin/Double  
Single  
Silver Category    
Share Twin/Double  
Single    
Bronze Category    
Share Twin/Double  
Single    
Triple  
Quad  

Carnival Registration Fee:
Per team, the registration fee is US$200.

To be paid per Bank Draft or Cheque to be posted to:

  • Bank Draft,
    Please make the payment  and post to
    VSL Events Office,
    PO Box 78, Snells Beach 0942, New Zealand.
    Please include the following details:
    Full Name:
    Address:
  • Bank Transfer,
    Please transfer the funds to Vintage Sport and Leisure Ltd,
    National Bank of New Zealand, Mt Eden Branch,
    PO Box 56014,Mt Eden, Auckland,New Zealand.
    Account Number: 060 287 00619088 02.
    BSB/Sort Code: ANZ BNZ 22.
    Please supply a reference identifying your payment.

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