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 _______________________________________________
Postal Address _______________________________________________
Western Australia, Post Code_______________________
Telephone number _______________________________________________
Please fill out and email this form to ua.moc.awnea@oe.
M: 0412 183 776