Larnach Castle Crown Ball - Registration Form
First Name *
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Last Name *
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Email Address *
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Phone Number *
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City *
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Dietary Requirements *
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Payment options
To secure your ticket we require a $40 deposit. The remainder needs to be paid before 30th June 2018.
The deposit can be paid in cash on a dance night, or via internet banking. Account details for internet banking are:

BNZ
Two Left Feet Ltd
02-0912-0286400-025

Reference: Full name
Particulars: Crown

How would you like to pay your deposit? *
Thank you!
We look forward to a magical evening at the Castle!

Once we receive your deposit we will send you confirmation that your ticket has been secured.

Any queries please contact Tom Campbell at:
email - cerocdunedin@gmail.com
phone/ text - 0273349337
or via Facebook

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