ACTIONS PAINTBALL

Bookings

v0.2

Please use this form to request a booking date & time (subject to availability).
No booking is confirmed until a deposit of $20 per player has been received.
Please wait for a confirmation E-mail to be sent before publishing information.

CONTACT DETAILS

Name :

Company

Phone

Address

Mobile

Suburb

Team Name

GAME DETAILS

Type of game:

Date: Day :
Time

Approximate number of Players Age

PAYMENT DETAILS

Please indicate your preferred method of payment for the deposit ($20 per person):

Westpac Deposit slip sent to above address
Cheque to be posted to Actions Paintball, PO Box 79-419, Royal Heights, Auckland
Credit Card (Visa, Amex, Master Card, Bartercard)
Direct Credit or Internet banking.

Credit Card Details

Cardholder's Name:
Card Number:
Expiry Date:	/ Month / Year

Additional comments

Security test. Please identify the pictures: