BALL TICKET APPLICATION FORM

Ticket sales will close on Wednesday 17th August

To order ball tickets on line please fill out this confidential form as fully as possible.

PLEASE NOTE:
Only use this form if you have already paid by Bank transfer/Direct deposit:

• Pay by direct debit/bank transfer:
  Seahorse Society Ball Account
  Westpac - BSB: 032-083 - Account number: 19-7609
  
  
• If you are paying by cheque or money order, do not use this form. Instead, print out the Ball Ticket order form and mail it to the address on the document:

indicates required information.

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YOUR DETAILS

Name:
Member Number (if applicable):
Email address:

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NUMBER OF TICKETS

Number of tickets:
Total Price of Tickets: $	$130.00 each

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DELIVERY OF TICKET

Select one from the menu. Post to me (fill in details below) I'll pick it up at a Social Meeting Hold for me to pick up on the night

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NAME AND POSTAL ADDRESS

Only fill this section in if you wish to receive your tickets by mail.

Please, leave empty if you do not wish to receive your tickets by mail.

Title:	| Mr: | Mrs: | Miss: | Ms: |
Name:
Street address:
Suburb/Town/City:
State:	Select one NSW ACT NT QLD SA TAS VIC WA Not in Australia
Postcode:
State, Country (If not Australia):

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SEATING & DIETARY PREFERENCES

I would prefer to be seated at a particular table:
Special dietary requirements (vegetarian meals):

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Have you filled in all the required information marked ?

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Ball Quick Links

Ticket sales are now closed. For late ticket enquiries: contact ball@seahorsesoc.org

The Cabaret Floor Show will include two of Australia's top entertainers, Lisa Crouch and Australia's Got Talent 2011 Finalist, Wayne Rogers.

Use this menu to navigate the Ball pages: Select a page.. Main Ball Page Details about the Ball Ball Location and booking a room at the Mercure Ball Updates Make-up Artists available Ball sponsors Previous Ball Photos (members only)

Ball enquiries: ball@seahorsesoc.org