Apia 70th Anniversary Gala Dinner
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First Name
Last Name
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Phone Number
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Phone Number
Please note any particular seating preferences (eg we would like to sit with (named attendee/s)
Seating Preference
If attendees have special dietary requirements, please list them along with their names
Dietary Requirements
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Adult
$
195.00
AUD
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0.00
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Family of Four (4)
$
750.00
AUD
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Table of 10
$
1,800.00
AUD
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Subtotal
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0.00
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Tax
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0.00
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Total
$
0.00
AUD
Payment Methods
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