ICCI 40th Anniversary Business Excellence Awards Gala Ball - Registration Form
When: 6th October 2018
Time: 6:30pm for 7pm start – late
Tickets: $250pp (Members) - $285pp (Non Members)
Tables of 10: $2.350 (Members) - $2,700 (Non Members)
Where: Doltone House - Australian Technology Park - 2 Central Avenue, Eveleigh NSW 2015
Dress code: Black Tie

Please note RSVP is strictly by 25th September 2018, we will not be able to accept any names / change of names after this date

Name *
Your answer
Surname *
Your answer
Company *
Your answer
Job Title *
Your answer
Email Address *
Your answer
Contact number *
Your answer
Are you an ICCI Member? *
(Your membership status will be verified)
Number of tickets *
Tickets: $250pp (Members) $285pp (Non Members). Tables of 10: $2.350 (Members) $2,700 (Non Members)
Your answer
Are you interested in sponsoring the event?
Dietary Requirements
Your answer
Age (optional)
Guests (if any) *
Name, Surname, Company and Title , dietary requirements
Your answer
Notes
Your answer
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