"On the Footypath to Fame"

• Each Footypaver sized 330 x 330cm and diamond-shaped will be marked with your own name or family name and your city or town [2 lines, maximum 40 characters, including spaces] (these are only suggestions, any 40 characters may be used) and the EFC Logo and "1996" the opening year of our Hall of Fame.
• Footypaver location: Stage One: along Napier Street at Windy Hill, the Bombers' spiritual home.
• The sooner you buy your Footypaver, the closer you'll be to the Entrance of the Hall of Fame. Placement of each Footypaver will be strictly in order of receipt of your Registration Form.
• Each Footypaver comes with a Numbered Certificate acknowledging your support.
• A map and database will be created to help you locate your Footypaver on the Footypath to Fame when you visit Windy Hill.
• FootyPavers are fully tax deductible and can be paid in instalments of $25 per month.
• FootyPavers make a great gift for Birthdays, Weddings, Anniversaries, in memory of the deceased, father's day, mother's day, any occasion you can think of.
• there are only 11,000 Footypavers available on the Napier Street site and they will go fast!

Name:..........................................................

Address:.......................................................

..................................Postal Code:.................

Tel. (H):........................(B):..........................

I request that my Footypaver be marked with the following:
Line one:

.. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ..
Line two:

.. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ..
(Maximum 20 spaces per line)

Payment Authorisation

Please tick:  Cash ..    Cheque ..   Credit Card ..

Amount Payable:  $...........

Please debit my:  Bankcard ..    MasterCard ..    Visa ..

Card No: .. .. .. ..  .. .. .. ..  .. .. .. ..  .. .. .. ..

Expiry Date:  .../...

Card Holder's Name: ................................. (please print)

Signature: ..................................... Date: .............

For Australian residents:
To claim a tax deduction make your payment to "AUSTRALIAN SPORTS FOUNDATION"
My donation is given unconditionally.
I request that the donation be allocated to the Essendon Football Club's Hall of Fame.


Authorised and Signed by: ..........................................


Print out this page, then once completed mail your registration form
with full payment to:

Footypath to Fame
Essendon Football Club
PO Box 17
Essendon VIC
Australia 3040

or fax:  +61 3 9370 6804