Players Fund Booking Form 2024

Book Your 4 Ball
Name of Company or Person booking*
Email Address*
Cell Phone Number*
Do you require a rugby legend in your 4ball*
Player 1 Name*
Email Address*
Cell Number*
Handicap Index*
Shirt Size*
Dietary*
Player 2 Name
Email Address
Cell Number
Handicap Index
Shirt Size
Dietary
Player 3 Name
Email Address
Cell Number
Handicap Index
Shirt Size
Dietary
Player 4 Name
ONLY TO BE COMPLETED IF NO LEGEND REQUIRED
Email Address
Cell Number
Handicap Index
Shirt Size
Dietary
Marketing Consent*
Banking Details: Please note it is imperative that you use the Company name or Contact name for reference and send copy of deposit to diane@markmywords.co.za

Account Holder : The Chris Burger/Petro Jackson Rugby Player Fund NPO

Bank : First National Bank

Type : Platinum Business Account

Account # : 62880005618

Branch Code : 204209
Should be Empty: