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28th June 2005

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28th June 2005 Powered By Docstoc
					2010 Aurora Annual Dinner - Saturday 26 June - Paddington Town Hall
                                  BOOKING FORM 
            Please complete your reservation details and fax form to 02 8323 4041 or email to
                                   bookings@auroragroup.com.au

 YOUR CONTACT DETAILS 

Name:

Mailing Address:                                                                            Postcode:

Telephone Day:                     Telephone Ev ening:                  Mobile Phone:

Fax:                               Email:


      YOUR RESERVATION 

I wish to purchase:                                                 Corporate & Community Group Tables
                                                                                 available
_______ tables @ $2250.00 (incl. GST) per table
                                                                Please see information sheet enclosed or go to
OR _______ seats @ $225.00 (incl. GST) per seat                          www.auroragroup.com.au


I enclose a cheque made payable to The Aurora Group – A Ruby Foundation Limited
OR Please debit my credit card ( See page 2 for m ultiple card paym ent )

  CREDIT CARD PAYMENT 
Name on Card (if different to above)

Billing Address (if different to above)
Card Type              Visa           MasterCard             American Express
Card No.                                                               Expiry Date:     /      Security Code:

Total Card Billing $                                   Signature                                Date


 TABLE & MEAL BOOKINGS 
Each table will seat ten guests. Single seats will be allocated where appropriate.
Please adv ise us if you wish to sit with friends. W e will attempt to meet your request, but this is not guaranteed.

I would like to sit with:



OR For the Guest Register and Seating Plan, the names of the ten guests on my table are:

1.                                                     6.

2.                                                     7.

3.                                                     8.

4.                                                     9.

5.                                                     10.

                    The Aurora Group  A Ruby Foundation Limited  ABN 13 088 442 504  CFN17069
     The Aurora Group  A Ruby Foundation Giving Program Trust Fund  ABN 14 397 969 239  Deductible Gift Recipient
        PO Box 96 Paddington NSW 2021  Telephone and Fax: (02) 8323 4041  Email: bookings@auroragroup.com.au
Please indicate the number of v egetarian meals required: _________
W hen booking, please adv ise of any food allergies or other critical dietary requirements.


OFFICE USE ONLY   Booking No:                 Authority No:                 Receipt No.
Please use this form to purchase using multiple credit cards (e.g. – your guests provide their credit card details to you to pay for their
                                                               tickets)

         NAME                NUMBER OF TIX               CREDIT CARD TYPE & NUMBER               SECURITY CODE     EXPIRY      PHONE
  (as appears on card)         @ $225 each                                                       (if applicable)   DATE
                           # Tix _____           Visa        MasterCard       American Express

                           Total $ _____      Card Number:

                           # Tix _____           Visa        MasterCard       American Express

                           Total $ _____      Card Number:

                           # Tix _____           Visa        MasterCard       American Express

                           Total $ _____      Card Number:

                           # Tix _____           Visa        MasterCard       American Express

                           Total $ _____      Card Number:

                           # Tix _____           Visa        MasterCard       American Express

                           Total $ _____      Card Number:

                           # Tix _____           Visa        MasterCard       American Express

                           Total $ _____      Card Number:

                           # Tix _____           Visa        MasterCard       American Express

                           Total $ _____      Card Number:

                           # Tix _____           Visa        MasterCard       American Express

                           Total $ _____      Card Number:
# Tix _____       Visa         MasterCard   American Express

Total $ _____   Card Number:

# Tix _____       Visa         MasterCard   American Express

Total $ _____   Card Number:

				
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