TICKET PURCHASE FORM
2016 AWARDS OF EXCELLENCE
I wish to purchase _______ (number of tickets) x $65 each_______(Total) to attend the 2016 Awards of Excellence event to be held on Friday, 30 September 2016 at Burswood on Swan, 1 Camfield Drive, Burswood from 6 – 9 pm.
I understand that tickets will be posted to the following address once payment has been made.
Please provide an invoice for payment as follows:
Contact Name _______________________________________________
Postal Address _______________________________________________
Western Australia, Post Code _______________________
Telephone number _______________________________________________
Please fill out and email this form to ua.moc.gniniartpuorg@awatg or post to the above address.
Lucy Radzikowska, Executive Officer, Group Training Australia WA Inc, M: 0412 183 776, E: ua.moc.gniniartpuorg@awatg