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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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
Debit or Credit Card
First Name
Last Name
Credit Card Number
Security Code
Expiration Month
January
February
March
April
May
June
July
August
September
October
November
December
Expiration Month
Expiration Year
2026
2027
2028
2029
2030
2031
2032
2033
2034
2035
2036
2037
2038
2039
2040
2041
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2045
Expiration Year
Submit and Pay :)
Should be Empty: