SPONSORS’ DONATION FORM

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SPONSOR / DONOR FORM

Date *

Full Name or Company Name *

Contact Person (if company donation) *

Contact Number (Landline)

Contact Number (Cellphone) *

Email Address *

Address to be reflected on invoice *

Address to be reflected on invoice

Address to be reflected on invoice

Address to be reflected on invoice

City

City

Province

Province

Postcode

Postcode

Country

Country

Value of Donation R *

BANKING DETAILS

BANK: Bidvest Bank ACCOUNT NAME: Lyceum Club of Greek Women Johannesburg NPC BRANCH CODE: 462005 ACCOUNT TYPE: Business Account ACCOUNT NUMBER: 11186750401

*

I agree that the above information is correct. If I wish to make any changes, these should be communicated as soon as possible to Ellen Lambrianos on email elambrianos@mweb.co.za.

I would like advertising rights with this sponsorship. Please send me details.

I would like a copy of the form to be sent to my email address noted above.

NOTES:
For security reasons, we prefer not to accept cash payments on the day. We have thus provided our bank details for EFT payments and direct deposits.

Thank you for being a part of the 2019 Lyceum Charity Golf Day!

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