2012 Australia Day Lunch Booking Form

- Required Fields

Company

ABN

Contact First Name

Contact Last Name

Position

Email Address

Telephone

Fax

Address

Suburb

State

Postcode

Additional Comments / Questions

Table Booking - $3,000.00 (plus GST)

I would like to book the following number of tables :

Seat Booking - $300.00 (plus GST)

I would like to book the following number of seats :

Please add 6 and 4 and type the answer here:

The Australia Day Council of NSW will issue a Tax Invoice upon receipt of your Australia Day Lunch registration.