Employee Payroll Information Form

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					Player Appearance Request Form (External)

Organisation Details

Date of Request:

Organisation Name:

Postal Address:

Email:

Contact Number:

Appearance Date:



                       (Please note this form must be submitted 6 weeks prior to the Event)


Event Information

Purpose of Event:



Event Address:



Melways Reference:

Arrival Time:

Departure Time:

Event Contact Name:

Contact Number:

Appropriate Attire:    Formal          Smart Casual            Casual          (please circle one)


Meal Provided:         Yes                     No

Expectations of Western Bulldogs player(s):
Player Appearance Request Form (External)

Any other information:




Please complete and return this form to: playerappearances@westernbulldogs.com.au or mail to:
Player Appearance Request, Western Bulldogs, PO Box 4112, Delivery Centre, Footscray
West 3012.




Completion of this form is a request only and does not guarantee a player appearance