Print this form, and fax or post to the address below
PO Box 41463, St Lukes
Auckland 1025, New Zealand
USA Fax Number: (815) 366-8145 | UK Fax Number: 0870 762 6915
feedback@wine-searcher.com
Payment for Sponsorship by Bank Transfer or Check
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Print this form, and fax or post to the address below |
|
PO Box 41463, St Lukes |
Auckland 1025, New Zealand |
USA Fax Number: (815) 366-8145 | UK Fax Number: 0870 762 6915 |
feedback@wine-searcher.com |
|
Payment for Sponsorship by Bank Transfer or Check |
|
Select a sponsorship period (tick one option below):
12 months (USD 3500)
Six months (USD 1900)
I would like to pay by:
Bank Transfer All bank transfers must be paid in NZD.
Check in USD GBP Euro
|
Business Name: ___________________________________________ Business Address: _____________________________________________ Signature: _______________________________________________ Today's Date: _______________ Phone No.: __________________ Your Email Address: ____________________________________________ |