AHOCQ Jumpers & Jazz Event 2023
Attendee Commitments
Name #1
*
First Name
Last Name
Name #2
First Name
Last Name
Mobile Phone Number
*
Please enter a valid mobile phone number.
Email
*
example@example.com
Please nominate how many people in total are attending in your party?
blanks
*
Which days will you be attending?:
*
Please select from drop down
Friday to Sunday
Saturday to Sunday
Sunday only
Please select from the drop down
How many Austin Healeys will you be displaying?
*
Model & year of the car/s
EVENTS DETAILS & PAYMENT COMMITMENTS
NOTE: you will need to lodge the total of all funds noted in 'Total Amount Column' in advance into club account by 1st May 2022 for these bookings to take effect:
Please indicate which events you want to attend and the total per venue for the number of people attending:
*
Attending?
Total
Amount
$
Friday Lunch (Bull & Barley Restaurant, Cambooya Hotel), no set cost Ala Carte menu - order & pay on the day.
YES
NO
Friday Night
Joi D'Vivre
Dinner & Jazz Gig $65.00/head (BYO)
YES
NO
Saturday Breakfast Warwick Garden Centre (
no set cost Ala Carte menu - order & pay on the day.
)
YES
NO
Saturday 6 hour Wineries, Lunch - Mini Degustation with paired wines & Distillery Tasting (Warwick hotel pickup & return) $120/head (plus $10 entry into wineries/distillery refunded on purchase )
YES
NO
Saturday Dinner Dance - The Freud Squad, Belle Vue Cafe - Warwick Golf Club ($95/head - dinner only, drinks at bar prices)):
YES
NO
TOTAL AMOUNT ($) I COMMIT TO PAY INTO CLUB BANK ACCOUNT by 1st June 2023
BANK DETAILS:
BSB: 034 083 Account Number: 245921
YES
NO
Please indicate any food prerequisites:
Please Select
Vegetarian
Vegan
Gluten Free
Lactose Intolerant
Gluten Free & Lactose Intolerant
Nut Allergy
Please add any other comments or requests you wish to make
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