Churchill Fellows Assovciation of SA

 

Annual Dinner Registration

You and your partner/guest are invited to the SA Churchill Fellows Association Annual dinner
to congratulate new Fellows and to celebrate their achievement.

on Wednesday 24 August, 20011 - 6:30 for 7.00pm
at Adelaide Pavilion Conference & Function Rooms
Veale Gardens cnr South Terrace & Peacock Road
Adelaide SA 5000
cost Fellows and Guests - $55.00 each
Concessions - $25.00 each

You can use the form below to Register for this event. You will also need to pay on registration by one of the methods outlined below : (click here for payment instructions)

Registration Form

Your Details
Title :
First Name :
Surname :
Partner/Guest Name/s :

Attendance
# of Tickets @ $55.00
# of Concessions @ $25.00

Comments
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Contact Details
Email Address :


Address :
Phone Number : (include area code)
Mobile :

Payment Details
Intended Payment Method :
 

 
 

 


 
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