SLIDE 2 SRA 2015Annual Presentation Dinner Booking Form
Mercure Function Centre Geelong May 23rd 2015
Please send completed form along with payment details to:- SRA of Vic Inc FAX – 03 8307 8166 E MAIL – office@sravic.com 1 Ovington Place Altona Meadows Victoria 3028 Contact: Phone: AH: (03) 9315 8106 Mobile: 0417 600 047
(Please note this mobile phone may go to message bank during business hours)
Bookings & Payment must be received by Friday the 8th of MAY 2015 (Ten People per Table Limit) There is a limit of 200 Seats available for the dinner, FIRST IN BEST DRESSED
Name: ______________________________________________ Car No: _____________ Address: ___________________________________________________________________ ___________________________________________________________________ Phone No: ___________________________ No of Tickets Required _________ Name___________________________________Name____________________________________ Name___________________________________Name____________________________________ Name___________________________________Name____________________________________ Name___________________________________Name____________________________________ Name___________________________________Name____________________________________ (Please list the correct names for each person when making the booking)
Please note all bookings must be made by Post, Fax or E mail
DEFINATLEY NO PHONE, TEXT OR VERBAL BOOKINGS ACCEPTED UNDER ANY CERCUMSTANCES
TOTAL AMOUNT TO BE PAID TICKETS @ $85 each (Inc GST) = $________________
Cheques must be made payable to: SPRINTCAR RACING ASSOCIATION OF VICTORIA,
In full (Not SRA of Vic). Any cheques payments abbreviated to SRA of Vic will not be accepted) Cheque Visa MasterCard Bank Card Money Order Cash
Credit Card Number
Expiry Date: / / Card Holders Name: _____________________________________ Signature: _____________________________________
