Rowing ACT Season Presentation

Rowing ACT Season Presentation Celebration

20 October 2013 -Ticket Order Form
Note: The date for this event was recently changed.
Full Name*

First NameLast Name
E-mail*
Address*

Street Address

Street Address Line 2

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Post Code
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Please indicate how many tickets you would like to purchase.*
prevnext( X )
Yes I would like to purchase the following number of tickets, each at$30.00AUD

Number of tickets required

Total $0.00AUD
Yes I require a tax invoice to make the payment.
- Additional Guest 1
  
  First NameLast Name
- Additional Guest 2
  
  First NameLast Name
- Additional Guest 3
  
  First NameLast Name
- Additional Guest 4
  
  First NameLast Name
- Additional Guest 5
  
  First NameLast Name
- Additional Guest 6
  
  First NameLast Name
- Additional Guest 7
  
  First NameLast Name
- Additional Guest 8
  
  First NameLast Name
- Additional Guest 9
  
  First NameLast Name
- Payment Agreement
  
  Upon submitting this form I agree to submit the specified payment .
- Payment details will be provided once you have submitted your order.
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