Booking Form RSVP Monday 26 July, 2010 Fax to: Events Department, Fax Number (02) 9564 6044
Thursday 5 August 2010 The Hilton, Sydney
Name: Address: Suburb:
Postcode:
Daytime Phone:
Mobile:
Email:
I would like to book and pay for a table for 10 people at $1,950 I would like to book and pay for ________ individual tickets at $195 per person totaling $_________ I / we are joining the party of _______________________________________________________ I am unable to attend but wish to make a tax-deductible donation of $ ________ I have the following dietary requirements: ______________________________________________ Please find enclosed a cheque made payable to Matthew Talbot Homeless Services or
Please debit my:
Mastercard
VISA
AMEX
DINERS
Card Number: __ __ __ __ / __ __ __ __ / __ __ __ __ / __ __ __ __ Expiry Date: __ __ / __ __ Name on Card:
Signature:
Payments by cheque or money order: Please make your cheque or money order payable to ‘Matthew Talbot Homeless Services’. Please complete this booking form and fax it to Frances Roqueza on (02) 9564 6044 or post it to:
For registration purposes, we would appreciate if you could list your guests’ names below:
Frances Roqueza St Vincent de Paul Society PO Box 5 Petersham NSW 2049
3.
For further information about the event please contact Frances Roqueza on (02) 9568 0273 or via email events@vinnies.org.au
1. 2. 4. 5. 6. 7. 8. 9. 10.