Kids Safe-at-Sport Network          [KSAS-Au]	An OIC Initiative

We wish to pay by Direct Deposit rather than Credit Card for KSAS-Au Sponsorship.


Organisation Details

* Organisation Short Name
Applicant

* Preferred Name 

* Last Name 

Area Code

Telephone Number 


Email

Mobile



Direct Credit Bank Details

BANK: 
Commonwealth Bank 
Military Road 
NEUTRAL BAY  2089
AUSTRALIA

BSB CODE:
062-210
ACCOUNT:
 Open Interchange Consortium
ACCOUNT CODE:
1006-8673 
ABN:
98-594-482-296


 

KSAS-AU SPONSORSHIP OPTIONS
Month
Qtr
Total
ANNUM
If paying monthly, 3 months payment is required
$ 
$ 
$ 
$ 
A
Platinum - National
1,000.00 
3,000.00 
1,200.00 
10,000.00 
B
Diamond - State
750.00 
2,250.00 
9,000.00 
7,500.00
C
Gold - Region/Sport
500.00 
1,500.00 
6,000.00 
5,000.00 
D
Silver - Area
250.00 
750.00 
3,000.00 
2,500.00 
D
Bronze - Team
 
 
 
500.00 


If paying monthly, 3 months payment is required {quarterly payment}.  

Each quarterly payment is required one month in advance.


Please delete options that are not required