2016 ANDRA Championship Dinner Tickets

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The 2016 ANDRA Championship Dinner will be held Thursday 1 December at Mawson Lakes Hotel & Function Centre located 10 Main Street, Mawson Lakes, South Australia.

Tickets:

Adult - $45
Youth (12-17) - $30
Child under 12 - $12.50

RSVP: NOVEMBER 15

Name

Name for Reservation

Can be team name or your own name

Postal Address

Email Address

Phone Number

Number of Adult Tickets Required

Number of Youth Tickets Required (12-17)

Number of Children's Tickets Required (Under 12)

Notes

Seating placement, dietary requirements etc

Payment

I have paid for the tickets via direct deposit. Full payment is required for tickets to be sent out. Please transfer payment to BSB number 015 257 and account number 2767 369 75. Please ensure you put your name in the description for the payment.

I wish to be contacted to pay by credit card ($2 surcharge applies).

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