Celebrity Entry Form

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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 Room
Twin Deluxe Room
2 Bedroom Villa
3 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 Classic
10 265 225
124 071

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
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