Partnership Registration Form

SPONSOR FORM

Download Dragon Club Application Form Here

PARTNERSHIP REGISTRATION FORM – PRODUCT SPONSORS

Business Name: ………………………………………………………………………………………..

Business Address: ……………………………………………………………………………………..

Phone Number: ………………………………………………………………………………………..

Fax Number: …………………………………………………………………………………………..

Contact Name: …………………………………………………………………………………………

Mobile Number: ………………………………………………………………………………………

Email Address: ………………………………………………………………………………………..

Web Address: …………………………………………………………………………………………

Connected Player (if applicable): ……………………………………………………………………..

Please email artwork in A4 landscape style to allamby@iprimus.com.au for:

8m x 9m fence sign and A3 Laminated sign (President’s Club),

Please email company logo in jpeg format (square shape) for website advertising to Aaron Clough at aaron.c@samsung.com

…………………………………………………………………………………………………………………………………………….

Remittance Advice

Partnership Level (please tick appropriate one):

Silver ___   Gold  ___ Platinum Package ___ Major Package___

Please find enclosed Cheque for $____________made payable to “Dragon Club”

Online Banking:  BSB – 633000               Account No:  151702982  Account Name:   Dragon Club  (Reference/Description details must state your sponsorship name.)

Please forward your sponsorship registration form to:

                                                                        Dragon Club Chairman Brett Marshall brett@cambridgeplumbing.com.au

Or Post To   1/129 Fitzroy St St Kilda 3182