Team Tom Supporters Club Application
(includes entry into the "Team Tom Formula Fridge Prize")

Please complete the following APPLICATION  … one application per person.    

THE TEAM TOM “FORMULA FRIDGE” PRIZE

Your membership will automatically entitle you to have your name put in the draw on the 24th October to win a 30 Litre top of the line 12/24/240 volt Matson portable camping Fridge/Freezer. Valued at $1000 the fridge can fit up to 40 cans (375ml each) and weighs only 17.2kg. Perfect for your boat, caravan, 4WD or anywhere you need to cool or freeze food and beverages.

PS. Wine, food and beer are extra ... sorry but I guarantee if I win the "Gold Star" your fridge will be full ... on "the house".

If you wish to add additional support to my 2009 F3 racing program please contact me at  support@tomtweedie.com

Should you make your payment via your company and request an invoice please advise.

Team Tom Application Form

Contact Details:
* Name:
Title:
Company:
Address:
* City / Town:
* State:
Postcode / Zip:
* Country:
* Phone No:
Fax No:
* Email:
* Required Fields
Would you like a copy of this enquiry sent to the email address provided above?
 

No Yes

2010 Membership Fee per person:
$ 150
New members Joining Fee :
$ 25
TOTAL:
$150 (Existing Members)
 
$175 (New Members)

(Includes automatic entry in the "Formula Fridge" prize - Competition)

Payments can be made by cheque or postal order and mail to:

IBC Holdings (Aust) Pty Ltd   (ABN 38 001 777 939)
PO Box 270
HUNTERS HILL
NSW  AUSTRALIA 2110

Note. This company is GST exempt.

Thank you … the Team and I look forward to meeting you and for NEW MEMBERS your complementary TEAM TOM SUPPORTERS CLUB cap and MEMBERSHIP CERTIFICATE will be sent to you shortly.

 

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• Managed by IBC Holdings (Australia) Pty Ltd • Post: PO Box 270 HUNTERS HILL NSW 2110 •
• Phone: 0408 277408 or 0408 162 762 • Email: tom@tomtweedie.com •
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