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LAWN BOWLS SOCIAL EVENT - UDIA

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Registration Form<br />

<strong>UDIA</strong> NSW Young Developers’ Lawn Bowls Social Event<br />

Friday, October 11, 2013<br />

TICKETS<br />

I would like to book _________ ticket/s at $55 each<br />

PAYMENT DETAILS<br />

Total cost $____________<br />

Cheque<br />

Credit card: ◦Mastercard ◦Visa ◦Amex ◦Diners<br />

Extra charges will be incurred if using Amex 3% or Diners 4%.<br />

Name of cardholder:___________________________________<br />

Card no:________________________________ Exp:_________<br />

Signature:______________________________ CVV:_________<br />

Register online at www.udiansw.com.au or send your<br />

registration form to <strong>UDIA</strong> NSW by October 2, 2013 via:<br />

Fax: (02) 9262 1218 or Email: events@udia‐nsw.com.au<br />

Phone <strong>UDIA</strong> NSW on 02 9262 1214 if you have any questions.<br />

Cancellations must be notified to the <strong>UDIA</strong> NSW office by 2/10/13. Payment will be required for any booking<br />

not cancelled prior to this date and no refunds will be made. All prices inclusive of GST. ABN 43 001 172 363<br />

ATTENDEE DETAILS<br />

Name:_______________________________________________<br />

Company:____________________________________________<br />

Phone:______________________________________________<br />

Email:_______________________________________________<br />

ADDITIONAL ATTENDEES<br />

Name:_______________________________________________<br />

Company:____________________________________________<br />

Email:_______________________________________________<br />

Name:_______________________________________________<br />

Company:____________________________________________<br />

Email:_______________________________________________<br />

Name:_______________________________________________<br />

Company:____________________________________________<br />

Email:_______________________________________________

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