Taranaki Cricket Association Inc. 125th Jubilee "REGISTRATION"
Taranaki Cricket's 125th Jubilee is being held the 8th & 9th March 2019. Please complete the registration form below to attend the jubilee by selecting the functions you would like to attend. Payment details are at the bottom of this registration form.

MAKE SURE YOU GET IN QUICK AS THESE 'EARLY BIRD' PRICES FINISH FRIDAY 1ST FEBRUARY 2019.

Name *
Your answer
Postal Address *
Your answer
Email *
Your answer
Phone *
Your answer
Spouse/Partners Name (Of those attending) *
Your answer
REGISTRATION *
Please select the number of persons you are registering.
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Required
'Energy City Ford Mix & Mingle' - Friday 8th March 2019 from 6pm at Paritutu Bowling Club *
Please select the number of persons attending the Friday night 'Mix & Mingle'
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Required
'Revital Fertilisers Jubilee Dinner & Dance' - Saturday 9th March 2019 from 5:30pm at The Devon Hotel *
Please select the number of persons attending the Saturday night 'Dinner & Dance' at The Devon Hotel
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Required
If you have selected a table of 10 above, please indicate below the name of your table. It is important when people register they put the table name below also.
Your answer
Do you have any dietary requirements that we need to be aware of? Please name the person/s with their dietary requirements. *
Your answer
TCA Jubilee CCC Polo - $55 each *
Please select the size you require. Polo's will be available for collection at the Friday night 'Mix & Mingle.' If you require more than one in your size please indicate numbers required in next question. Note: All Jubilee Polo orders must be in by Friday 15th February 2019.
Required
TCA Jubilee CCC Polo - $55 each (multiple orders)
If you would like to purchase more than one polo please enter size and number required below.
Your answer
Your payment to Taranaki Cricket
Taranaki Cricket will email an invoice to you, payment is required by 1st February 2018. Thank you for registering, we look forward to celebrating this great occasion with you.
The Devon Hotel
If you require accommodation we have discounted rates at The Devon Hotel. Please go to www.devonhotel.co.nz and enter promo code '68666'. Any payments for accommodation are paid by you direct to The Devon Hotel.
Would you like to send us a message?
If you would like to send us a message, please enter below...
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