SWEATWORKING® - BAL’S CORPORATE PHYSICAL CHALLENGE EVENT

REGISTRATION FORM

mustbe returnedbynolaterthan11Octoberto

ORGANISATIONDETAILS

ORGANISATIONNAME:

(NB:This namewillbeusedfortheDonationReceipt)

ORGANISATION ADDRESS:

CONTACTNAME:

CONTACTDETAILS:

Email: Phone:

TEAM DETAILS

TEAMNAME:

TEAMNAME:

TEAMNAME:

DONATIONPAYMENTOPTIONS

1. BANK TRANSFER

Youcan transferyourdonationtothe BALTrust Account viabank transfer.Pleasestate: 161939in thereference.

BSB: 032727

DonationAmount: $

Account: 237793

Account Name:BALTrust Account

2. CASH /CHEQUE–pleaseincludeacopyofthisregistrationform withyourdonation

Cashisacceptedat ouroffices onthe9thFloor,CanberraHouse,40MarcusClarke Street, Canberra. Pleasedonot send cashthrough themail. Pleasemakechequespayable toBALLawyers,GPOBox240,CANBERRAACT2601

3. CREDITCARD
CardNumber: / CardType: Visa / MasterCard
NameonCard / Expiry Date: /
Signature: / DonationAmount: $

CONSENT

PleasenotethatinthecourseofadministeringtheSweatworking®Event,WilliamsLoveNicol Lawyers PtyLtdACN096408

374tradingas“BAL Lawyers”anditsassociatedentities(BAL)maytakephotographsandothervisualand

audio-visualrecordsoftheOrganisationwhileparticipatingintheSweatworking®Event(VisualMaterials),andwillbothhold ontrustforthebenefitofGlobal School PartnersLtdABN84 142 551 648 (GSP)anycharitabledonationmadebythe

OrganisationtoBALforthepurposesoftheSweatworking®Event(Donation)andrecordthemonetaryvalueanddetailsof

suchDonations(includingthedonororganisation’sidentity)(DonationDetails).

Pleaseindicateyourconsentto thefollowing:

•TheOrganisationacknowledges,consentsandagreesthatBALmayuse,discloseandpublishtheVisualMaterialsin whateverformforthepurposesofthecurrentand/orfutureadministration, promotionand/ormarketingofthe Sweatworking®Event ☐ YES ☐ NO

•TheOrganisationacknowledges,consentsandagreesthatBALmayuse,discloseandpublishtheDonationDetailsin whateverformforthepurposesofthecurrentand/orfutureadministration, promotionand/ormarketingofthe Sweatworking®Event ☐ YES ☐ NO

•TheOrganisationacknowledges,consentsandagreesthatBALmayholdontrustforthebenefitof GSPanyDonation received byBALfromtheOrganisation, releasetheDonationtoGSPaftertheSweatworking®Eventwithoutfurther consent,anddisclosealldetailsof theDonationto GSP forthepurposeof issuinga taxdeductiblereceipt

☐ YES ☐ NO