Not For Profit Arrangements

Page 2

Please list my organisation in the not for profit organisation directory under the following category/ activity heading: ………………………………… In:

Peninsula News

Coast Community News

Wyong Regional Chronicle

Grandstand

Name of organisation: …………………………………………………………………………………… Description of activity (up to 25 words): ..………………………………………………………………… ……………………………………………………………………………………………………………………… …………………………………………………………………………………………………………………… ………………………………………………………………………………………………………………...…… …………………………………………………………………………………………………………………… …………………………………………………………………………………………………………………… …………………………………………………………………………………………………………………… ………………………………………………………….

Regular event (if you have one) takes place: ..…………………………………………………………………… …………………………………………………………………………………………………………………………… …………………………………………………………………………………………………………………………… ………………………………………………………………………………………………. Contact information (for publication): …………………………………………………………………………… Email address (for/not for publication): …………………………………………………………………………… Postal address (for/not for publication): ………………………………………………………………………… SPECIFIC EVENT NOTICES Specific Event Notices are one off entries that will appear in mono in the public notices section of the classifieds. They only cost $20 + GST for a 5cm entry. Colour and larger sizes are also available at a reduced cost. Please list my event as follows in the next ……………………editions of:

Peninsula News

Coast Community News

Wyong Regional Chronicle

Grandstand

Activity/event description: ………………………………………………………………………………………… ………………………………………………………………….……………………………………………………… …………..……………………………………………………………………………………………………………… ……………………………….………………………………………………………………………………………… ……………………………………………………..…………………………………………………………………… ………………………………………………………………………….. Please either send your payment with this form or provide credit card payment details below and send to Ducks Crossing Publications. Here is my $

by:

Master Card

Visa Card

Credit Card

Number: Cheque (payable to Ducks Crossing Publications) Name on the Credit Card:…………………………………………………………………………………………… Expiry Date:………………………………Signed:…………………………………………………………………… Information for direct debits: Bank: CBA; Branch: Woy Woy; Account Name: Ducks Crossing Publications; BSB: 062-627; Account Number: 1014 3524


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