I have paid by direct deposit $ ................................... into Variety's Westpac bank account. BSB 035-212. AC
Come celebrate Chinese New Year 2018
Year of the Dog Raising Funds for
Tuesday 20th February 2018 7:00pm House of Chow Restaurant 82 Hutt Street Adelaide
Variety, the Children’s Charity
Sensational 10 course dinner Quality beverages Incredible lion dance and entertainment Fabulous auction items and wine wall raffle $140 per person all inclusive Limited seating and early booking recommended
Bookings close on Friday 16th February 2018 unless sold out
Booking Form I wish to purchase ............... Tables of 10 @ $1400*/table or .................... Seats @ $140* each Name ............................................................................................................................................... Address ........................................................................................................................................... Phone/Mobile ................................................................................................................................... Email ......................................................................................... (Bookings will be confirmed by email) I have paid by direct deposit $ ................................... into Variety’s Westpac bank account BSB 035-212
ACC 24-0647
REF Car88-your name
Enclosed is my cheque for $ ...................................... (made payable to Variety) Please charge my credit card $ ...........................
VISA
MASTERCARD
AMEX
Credit Card Number ................................................................. Exp ......... / .......... cvv ........... Name on Card .................................................................... Signature .......................................... I require a receipt
Fax: 08 8232 0782 ·
(*GST not applicable)
Kindly return completed form to Roz Chow / May Loo / Sel Bushell c/- 82 Hutt Street, SA 5000 Email:
[email protected] · Mobile: 0403 377 635 (Roz) · 0417 043 140 (May) · 0430 139 487 (Sel)
