Mon-Fri: 9am - 5pm

2017 AWARDS OF EXCELLENCE

TICKET PURCHASE FORM

I wish to purchase _______ (number of tickets) x $65 each_______(Total) to attend the 2017 Awards of Excellence event to be held on Friday, 29 September 2017 at Burswood on Swan, 1 Camfield Drive, Burswood from 6 – 9 pm.

I understand that tickets will be posted to the following address once the payment has been made.

Please provide an invoice for payment as follows:

Contact Name _______________________________________________

Organisation _______________________________________________

Postal Address _______________________________________________

Western Australia, Post Code_______________________

Telephone number _______________________________________________

Email _______________________________________________

Please fill out and email this form to .

Enquiries:

Luisa Terribile

Executive Officer

M: 0412 183 776

 

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