ASIAC.ORG.AU :: Trivia Night


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ASIAC TRIVIA NIGHT - BOOKING FORM SATURDAY 25 OCTOBER 2008, 7PM FOR 7:30 START cover Charge: $25.00 per person
	ASIAC Member NON ASIAC Member
Contact Details: Please include your first name and surname, and your partner's firstname and surname.
Full Name 1
Full Name 2
Tel:
Mob:
Email:
Who would you like to be seated with?:
Which country are you/have you adopted from? :
How to Pay: You can pay either by cheque or Internet Banking. COVER CHARGE: $25.00 PER PERSON
By Cheque:	Please make cheque payable to 'ASIAC NSW Inc' and post to The Treasurer, ASIAC NSW Inc, PO Box 546, GLEBE 2037
By Internet Banking:	Please use Internet Banking to pay the following account ASIAC NSW Inc. BSB: 062-245 Account: 0090-5085 Reference: TRIVIA/your surname eg. TRIVIA/jsmith PLEASE EMAIL RHONDA BURFIELD TO ADVISE OF DIRECT PAYMENT - DATE OF PAYMENT, WHO IT COVERS - IF USING INTERNET PAYMENT OPTION.