Booking & Payment Form
Please fill out the details below and return to us with your payment by Monday, 1 February 2016 to
bookings@tsaa.net.au
or The Sicilian Association of Australia, PO Box 837, Moonee Ponds VIC 3039
Contact Person for this booking:
Name: _________________________________________
Email: _________________________________________
Phone: ________________________
COOKING CLASS 7 February 2016 at PRINCES HILL SECONDARY COLLEGE
$45 MEMBERS / $70 NON-MEMBERS
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Please indicate any DIETARY REQUIREMENTS
Member (M),
AMOUNT
non-member (NM)
NAME
DIETARY REQUIREMENTS
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10.
TOTAL $
Discovering Sicilia Trivia Night, Friday 12th April, 2013
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Name
Payment
Options
Membership No.
$
Amount
 Forward your credit card payment authority to TSAA (please fill in ALL fields for credit card details)
Please debit my  Visa  Mastercard for the amount of $_______
   
Card number
Expiry date: ____/___/___
Cardholder’s name: _____________________________
Cardholder’s signature: __________________________
Total:
 Make a Direct deposit at NAB or Internet Transfer with reference to your
name & event
Account Name: The Sicilian Association of Australia
BSB: 083-155
Account No.: 18-465-0170
 Attach a cheque to this booking form and post it to
The Sicilian Association of Australia
PO Box 837
Moonee Ponds VIC 3039