Coming Back Out Ball, Free Ticket Request.
Please use this form to enter in the required information. This information will be used for the limited number of free tickets, specifically for LGBTI elders (65+). First preference will be given to individuals that did not attend last year, all other requests will be assessed on merit. Tickets are on sale for LGBTI elders this year and we encourage everyone who can afford to purchase a ticket to please do so here: www.trybooking.com/XNTF 
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Name *
Email *
Address *
Phone number *
What is your age? *
How do you identify? *
Did you attend The Coming Back Out Ball in 2017? *
Will you be traveling from outside Melbourne to attend? *
What it would mean for you to attend the ball? Up to 150 words. *
Please provide any more information that you consider important and appropriate for us to be aware of.
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