Friends Getting Together Incorporated (A0045974S)

Major Events Registration Form

Attendees

Name of member booking

Telephone Number Mobile Telephone Number

Email Address

Name (person accompanying) Member? Yes No

Name (person accompanying) Member? Yes No

Name (person accompanying) Member? Yes No

Comments, including any dietary requirements

Events

Enter date and name of each event to be booked (see newsletter for details)

Payment

It is essential that the payment record identifies the payer. When making an on-line transfer please include your name in the payment description. When making your transfer at a bank, please ask the teller to do so.

Total amount paid $

I have transferred that amount to Friends Getting Together's account at Bendigo Bank, BSB No.633000, Account No. 163475841.

Date that transfer was made