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Registration Form / Tax Invoice
ABN No. 98 053 739 709
Please complete and return this form via email or post to CLAIRE MOORE [email protected] | Telephone: 9400 8867
Booking Contact
Title
First Name
Surname
Company Name
Postal Address
Email
Telephone
How did you hear
about this event?
Tick if you would like to hear about upcoming events
Booking Details
Venue
The Lakeview Ballroom (7pm - Midnight)
Date
Friday 11 December 2015
Special Requirements
(eg wheelchair access, dietary)
No. of attendees
Tentative no. of guests
(confirm by 27 November 2015)
Cost per person
Total Amount
@ $135.00
$
Deposit of 20% payable to secure your booking (non refundable)
$
Total Amount Payable $
Payment Details
For cash or EFTPOS payments please pay at Joondalup Resort Reception
Cash
Credit card type
EFTPOS
Visa
Cheque - payable to Joondalup Resort Golf Management (Hotel Division)
Mastercard
AMEX*
Diners Club*
Credit Card
*NOTE All AMEX and DINERS CLUB cards incur a 3% surcharge
Card holder name
Card holder
number
Expiry Date
CVV
Card holder
signature
Booking Terms and Conditions
Final numbers, dietaries and final payment by Friday 27th Nov, 2015 | No refunds after Monday 30th Nov 2015 | Deposit of 20% payable to secure your booking (non
refundable) | No split billing | Any additions to the original booking are subject to availability at the time of enquiry | GST is included in the package price.
I hereby acknowledge that I agree to the booking terms and conditions outlined above.
SIGNATURE
_____________________________________________________
DATE: _________________________________
PO Box 263, Joondalup BC WA 6919 | Country Club Boulevard, Connolly WA | T: 9400 8867 | F: 9400 8889
[email protected] | www.joondalupresort.com.au