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MELROSE ARCH CHAMPAGNE EXPERIENCE

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MELROSE ARCH CHAMPAGNE EXPERIENCE Powered By Docstoc
					                 THE ABSA CAPITAL CHAMPAGNE FESTIVAL
                          BOOKING FORM 2010

NAME:

TEL. #:

NUMBER OF TICKETS REQD:

NAMES OF GUESTS:




PAYMENT METHOD*:                CHEQUE      CREDIT CARD

                              DEBIT CARD
*place an “X” in the appropriate box

NAME OF CARD HOLDER:

CREDIT/DEBIT CARD DETAILS*:        CREDIT    DEBIT
*place an “X” in the appropriate box

TYPE*:               VISA         MASTER     DINERS       AMEX

*place an “X” in the appropriate box

ACCOUNT NUMBER
EXPIRY DATE:
CVV NUMBER (Last 3 Digits on back):

CHEQUES PAYABLE TO:

JAVELIN SPONSORSHIP AND PRODUCTION

DIRECT TRANSFER DETAILS:

COMPANY:                       JAVELIN SPONSORSHIP AND PRODUCTION
BANK:                          FNB CRAIGHALL
ACCOUNT NUMBER:                62014861795
BRANCH NUMBER:                 255805
QUOTE REFERENCE:               CHAMPAGNE FESTIVAL AND NAME

PLEASE E-MAIL TO:              gift@javelinstar.co.za

FAX TO:                        011 – 784 6880

PAYMENT
DESCRIPTION                        PRICE           NO. OF     AMOUNT DUE
                                   PER TICKET      TICKETS
                                                   REQUIRED
Normal (1 – 9 tickets)             R495
Special (10 or more tickets)       R450




SIGNATURE:



DATE:

				
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