Truck Pledge / Donation Form

Please complete this form if you wish to enter vehicles in the 2010 Convoy taking place on November 28th 2010 to Safari World.
If you would like to make a donation, please visit our Donation Page

Sponsorship Price for 1 pick up truck/car entered	10,000 Baht
Sponsorship Price for 1 truck/bus entered	15,000 Baht
Sponsorship Price for 2 trucks/buses entered	25,000 Baht
Sponsorship Price for 3 trucks/buses entered	30,000 Baht

We wish to enter trucks in the convoy.

Please advise truck types

First Truck Registration No

Second truck Registration No

Third Truck      Registration No

Name                Company Name

Address       Tax receipt required

Tel Contact No Email address

Method of payment

Cheques should be made payable to " Austcham Thailand Convoy for Kids"

Convoy for Kids Bank details

Account: Austcham Thailand Convoy For Kids
Bank: Siam City Bank
Branch: Silom 15-010
Account Number: 010-2-18079-7

NB The Convoy will be held on 28th November 2010 and we would be obliged if your cheques could be submitted before that date.