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SMARTER THAN SMOKING HOT SHOTS 30 TH APRIL 2013 PLAYER NAME:

SMARTER THAN SMOKING HOT SHOTS 30 TH APRIL 2013 PLAYER NAME: The cost for the Hot Shots is $70 for 4- to 6 year olds OR $140 for 7-12 year olds Payment should be finalized no later than 5pm COB Thursday 26 th April 2013. PAYMENT OPTIONS: Payment via EFT of $70 OR $140 to:

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SMARTER THAN SMOKING HOT SHOTS 30 TH APRIL 2013 PLAYER NAME:

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  1. SMARTER THAN SMOKING HOT SHOTS 30TH APRIL 2013 • PLAYER NAME: • The cost for the Hot Shots is $70 for 4- to 6 year olds • OR $140 for 7-12 year olds • Payment should be finalized no later than 5pm COB Thursday 26th April 2013. • PAYMENT OPTIONS: • Payment via EFT of $70 OR $140 to: • BSB: 306089 ACC. NO: 2766668 • Please put HOT SHOTS and your child’s name as the reference. • Debit my MasterCard/Visa for $70 OR $140. • Card Holder’s Name: • Card No.: • Exp.: • Cheque payable to Football West Limited for $70 OR $140. • Please complete and return: • Post: Football West, PO Box 214, Maylands WA, 6931 • Email: development@footballwest.com.au • If you need assistance please phone 9422 6900.

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