South Australian Science Excellence Awards Gala Dinner Booking Form

South Australian Science Excellence Awards Gala Dinner Booking Form

7pm
Thursday, 20 August 2009
Hilton Adelaide, Victoria Square, Adelaide

$115 per person (GST inclusive)
$1100 per Table of 10

Enquiries to:
Barnett Communications & Marketing
Email: scienceawards@saugov.sa.gov.au
N.B. Telephone bookings will not be accepted.
Cancellation Policy: No refunds will be made after 6 August 2009.

Total number of tickets required @ $115 per person:

Tables of 10 required @ $1100 per table:
(Bookings of more than one table can not be completed in one transaction. Extra tables must be booked separately.

	Title	First Name	Last Name	Organisation	Special Dietary Requirements
1
2
3
4
5
6
7
8
9
10

Notes:

Tickets will not be issued.

Total Amount to pay:

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