Board Subsidy Application
Complete the form to apply for the subsidy. Office use only section at the bottom.
Purchasing Member:
*
First Name
Last Name
Age Group:
Parent/Carer Name:
First Name
Last Name
Email Address
*
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Date of Purchased
*
-
Day
-
Month
Year
Date
Make:
*
Colour
Size/Type (Foam/Fibreglass/Mal)
Purchase Price (nett of any custom artwork)
Please upload your receipt:
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Bank Account Details
Please nominate the account you would like your subsidy paid to if approved.
Account Name
BSB
Account Number
I agree:
To abide by the Yamba SLSC Board Subsidy rules.
To get approval from Yamba SLSC PRIOR to selling the board.
That upon sale of this board, 50% of the sale price is returned to Yamba SLSC.
Member Signature or Parent/Carer if under 18.
*
For Office Use Only
Club Subsidy (50% of nett purchase price)
Approved by:
Surf Sports Director Signature
Date
-
Day
-
Month
Year
Date
Submit Application
Submit Application
Should be Empty: