Please fill out this form and return it to Yvonne M on eventsadmin@raca.com.au
Ticket Pricing
|
Harbour & Macquarie Room
|
|
Ticket Price
|
Adults $215
|
|
TOTAL
|
|
Booking Details
|
|
Title, First Name, Last Name
|
|
Member Number
|
|
Do you require a car space?
*Please note: $35.00 per car space
|
Yes /No
|
If so, how many spaces?
|
|
Home Number
|
|
Mobile Number
|
|
E-mail Address
|
|
Postal Address
|
|
|
Number of guests in your party:
|
|
Your guest’s names and Dietary Requirements:
|
|
|
|
|
|
|
Reservation
|
Guest Booking (Number of guests x price per person)
|
|
$
|
TOTAL
|
$
|
* Payment constitutes that you agree with the terms and conditions stated below.
TERMS AND CONDITIONS
TERMS OF PAYMENT
At the time of booking 50% payment will be required and is non-refundable. The residual amount owing will then be charged on the 22nd Novemberr 2017 to either your house account or credit card provided at the time of booking.
CANCELLATION POLICIES
If you would like to make any amendments to your booking, please do so ten (10) working days prior to the event. Any cancellations after this date will still be charged in full.
PARKING
All reservations for garage parking are required to be confirmed seven (7) days prior to the event and are subject to the current parking guest rates on the day of use.
□ Charge Member Account
□ Direct Deposit
|
Account Name:
|
Royal Automobile Club of Australia
|
BSB Number:
|
032-021
|
Account Number:
|
800919
|
Bank:
|
Westpac
|
Deposit Reference:
|
MEMBERSHIP # OR 94949 (YOUR LAST NAME HERE)
|
Date Deposited
|
|
Amount Deposited
|
$
|
□ Credit Card
Please Note: MasterCard and Visa incur a 1.5% surcharge with a 1.6% surcharge for AMEX
|
Type of Card
|
Visa
|
M/C
|
AMEX
|
Name on Card
|
|
Card Number
|
|
Expiry Date
|
|
Card Holders Signature
|
|
Share with your friends: | 
