Peranakan Association Australia NSW 6th Anniversary Dinner Registration Form
Date: Sat 16th September 2017
Time: 7 pm
Venue: Zilver Restaurant, Level 1/191 Hay Street, Haymarket, Sydney 2000

RSVP By: 1 September 2017

Price: $60 per member; $75 per non-member or $80 inclusive of 1-year free membership; $45 per child under 12, paid via Direct Deposit (instructions below), latest by close of business, 1 September 2017, after which date, bookings will be given to those on the wait-list.

Contact: events.paansw@gmail.com

6th Anniversary Dinner 2017 Registration Details
Pease enter your details below.
First Name
Your answer
Last Name/Surname/Family Name
Your answer
Email Address
Your answer
Mobile/Phone Number
Your answer
Are you a member?
I will be bringing _ guest(s)
For seating and activity planning purposes, please let us know how many guest(s) you will be inviting (e.g. 0)
Your answer
Please provide name(s) of your guest(s).
If you have indicated "0" above, just type "NA" (not applicable).
Your answer
I will be bringing _ child(ren)
For seating, catering and activity planning purposes, please let us know how many child(ren) you will be bringing?
Your answer
Please provide name(s) of your child(ren)
If you have indicated "0" above just type "NA". Otherwise, please indicate their age(s) in brackets after their name(s).
Your answer
Direct Deposit Details
Please make payment for entrance fees directly to PAA NSW - CBA account; BSB 062-010, Account 1034-7340

Price: $60 per member; $75 per non-member or $80 inclusive of 1-year free membership; $45 per child under 12, paid via Direct Deposit (instructions below), latest by close of business, 1 September 2017, after which date, bookings will be given to those on the wait-list.

Ref Code
Your answer
Date deposited
MM
/
DD
/
YYYY
Total amount deposited
Your answer
Payment details
Please confirm you have paid for__number of guest(s) and amount of $__.
Your answer
Submit
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