Registration & Payment Form
Swiss Club of South Australia - 1 August Celebration
Sat 30 July 2022, 5 pm - Montacute Hall, 63 Institute Road, Montacute SA 5134
Name
*
First Name
Last Name
Email
*
example@example.com
Mobile
*
Please enter a valid phone number.
Format: (0400) 000 000.
Please let us know:
I / we can help with the setup from 3pm to 5pm on the day
I / we need a disability parkin spot
I / we will bring a desert
Registration
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next
( X )
Registration fee (per adult or child over 2)
this includes soup and a bred roll
$8.00 AUD
$
8.00
AUD
Quantity
1
2
3
4
5
6
7
8
9
10
Vienna Sausage
$2.00 AUD
$
2.00
AUD
Quantity
0
1
2
3
4
5
6
7
8
9
10
Credit Card Details
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
Submit and Pay :)
Should be Empty: