Celebrity Entry Form Celebrities Entry Form: Name: Address: Suburb: State: Postcode: Telephone: Mobile: Email: Handicap: Golf Link No.: Maximum handicap for non-affiliated club members is 22 for men or 36 for ladies. Shirt Size: Men: S M L XL XXL XXXL Ladies: 8 10 12 14 16 18 Preferred Tee Off Time (Required): Early (7am-8:30am) Late (11am-1pm) Same tee time will apply on both days. Name of your Dinner Guest (One guest per player included): Provide name/s of additional guest/s if applicable: CROWNE PLAZA HUNTER VALLEY ACCOMMODATION ROOM RATES King Deluxe RoomTwin Deluxe Room 2 Bedroom Villa3 Bedroom Villa $239 per night$239 per night$309 per night$379 per night Accommodation Arrival Date: Departure Date: Once hotel bookings are made with Judy, due to the Resort’s 7 day cancellation fee, the expectation is for you to honour any cancellation within 7 days, otherwise The Jack would incur the cost. Entry Fee: $430 RSVP: 1st October 2019 Please deposit entry fee to: Account Name: Account No.: BSB: Jack Newton Celebrity Classic10 265 225124 071 Diabetes NSW will issue you with a tax deductible receipt after the event For further details contact Judy Brady Phone: (07) 5473 0780 Mobile: 0411 028 970 Email: judy@jacknewtongroup.com Please input this code: