SPONSOR A SHARK

SPONSOR A SHARK
Sponsor Details
Company Name
ABN
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
Your Membership Details

All sponsors receive a membership for themselves when they support our players.
Name*

First NameLast Name
Date of Birth

MonthDayYear
Date
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
Preferred Shark
Option 1*
Option 2
Option 3
Player Grade*

ColtsWAFL SeniorsWAFL Women's
Payment Options*

Invoice me $770Invoice me $385 (MID-WEST PLAYERS ONLY)Direct DebitPay by card nowPay by credit card over the phone

Please ensure you complete payment using the terminal above before submitting this form.
Would you like to be sent an invoice?

YesNo
Please deposit $770 ($700 +GST) into the following account:

East Fremantle Football Club

BSB: 633 000 ACC: 143158087

Reference Sponsors Name
Please call the club on (08) 9339 5533 to process your payment over the phone
Should be Empty:

Enter coupon

Sponsor Details