ROYAL AUTOMOBILE CLUB OF AUSTRALIA

INCORPORATING IMPERIAL SERVICE CLUB LTD

CHAMPAGNE PARTY – Conferie du Sabre d’Or

BOOKING FORM

24 MARCH 6.00PM – MACQUARIE ROOM - $159 PER PERSON

Please fill out this and return it to the Events Team on

MEMBERS NON-MEMBERS

☐Mr ☐Mrs ☐Ms ☐Miss ☐Dr ☐Other ☐Mr ☐Mrs ☐Ms ☐Miss ☐Dr ☐Other

Name:Click here to enter text.Name:Click here to enter text.

Member No:Click here to enter text.Phone:Click here to enter text.

Phone:Click here to enter text. Email:Click here to enter text.

Email:Click here to enter text.

GUEST BOOKINGS & DIETARY REQUIREMENTS

1.Click here to enter text.

2.Click here to enter text.

3.Click here to enter text.

4.Click here to enter text.

QTY / PRICE
TICKET / $159 / Click here to enter text. /
GARAGE / $35 / Click here to enter text. /
TOTAL / Click here to enter text. /

TOTAL

*Payment constitutes that you agree with the terms and conditions stated below.

TERMS AND CONDITIONS

TERMS OF PAYMENTS: At the time of booking 50% of payment will be required and is non-refundable. The residual amount owing will be charged on the 10th March 2018 to either your house account or credit card provided at the time of booking.

CANCELLATION POLICIES - If you would like to make any amendements to your booking, please do so ten (10) working days prior to the event. Any cancellations after this date will still be charged in full.

PARKING - All reservations for garage parking are required to be confirmed seven (7) days prior to the event and are subject to the current parking guest rates on the day of use.

CHARGE MEMBER ACCOUNT

DIRECT DEPOSIT

Account Name:Royal Automobile Club of Australia

BSB Number:032-021

Account Number:800919

Bank:Westpac

Deposit Reference:MEMBERSHIP # or 95015 (YOUR SURNAME)

CREDIT CARD

Please charge my: ☐Visa (1.4%)☐Mastercard (1.4%)☐AMEX (1.6%)

Card Number: Exp. Date: /