Name of organisation

How many representatives are attending form your organisation?

one
two
more than two

PERSON 1. Name of first representative

Contact phone number

Any specific dietary requirements

PERSON 2. Name of second representative

Contact phone number

Any specific dietary requirements

I DO NOT agree to my photo being used for promotional purposes.

tick

(Leave box blank if you don't mind your photo being used.)

If you are a Trade Display would you like to attend the Christmas in July Dinner for $55. per person

Yes
No

If yes how many tickets to the dinner would you like

one
two
three
four or more