all ribbonsball 2012 garvan staff booking form

1
Young Garvan - All Ribbons Ball Saturday 18 August 2012, Hilton Hotel Sydney Please complete and return this form to: Garvan Research Foundation Reply Paid 68593 Darlinghurst NSW 2010 OR Fax to (02) 9295 8507 Conditions of the offer Employees of the Garvan Institute of Medical Research are invited to attend the All Ribbons Ball at the special ticket price of $140 per person (a 20% discount off the standard ticket price). This offer is available to employees and their partners. The offer does not extend to family and friends. Employees are welcome to invite friends at the standard ticket price. Your details Title_________ First Name ________________________ Surname ___________________________________ Postal Address: ____________________________________________________________________________ Suburb _______________________________________ State _____________ Post Code _________________ Phone: _______________________________ Email: ______________________________________________ Garvan salary number: ___________________ Ticket Purchase I would like to purchase __________ tickets at the Garvan employee rate of $140 per person. I would like to purchase _______ tickets at the standard rate of $175 per person. Total purchase: $ ________ Names of guests (maximum of 10 per table) 1 6 2 7 3 8 4 9 5 10 Please list any special dietary or seating requirements for your guests ___________________________________________________________________________________ Payment Options Cheque. Please make cheque payable to Garvan Research Foundation Credit Card. Please deduct the payment total from my credit card. Card Type Visa Mastercard American Express Card Number _________________________________________________ Expiry Date ____________ Name on Card __________________________________________ Signature ____________________ Thank you for your kind support. A confirmation and receipt for this tax invoice will be mailed to you. Garvan Research Foundation (GRF) ABN: 91 042 722 738. Enquiries: Kylie Sherwood-Kelly. Tel. 02 9295 8108 Email. [email protected] Garvan Research Foundation (GRF) is the marketing and fundraising arm of the Garvan Institute. ABN: 91 042 722 738. GRF oversee the activities of Young Garvan volunteer group. Tax Invoice / Garvan Employee Booking Form

Upload: garvan-research-foundation

Post on 25-Jun-2015

227 views

Category:

Documents


2 download

TRANSCRIPT

Young Garvan - All Ribbons Ball Saturday 18 August 2012, Hilton Hotel Sydney

Please complete and return this form to: Garvan Research Foundation Reply Paid 68593 Darlinghurst NSW 2010

OR Fax to (02) 9295 8507

Conditions of the offer Employees of the Garvan Institute of Medical Research are invited to attend the All Ribbons Ball at the special ticket price of $140 per person (a 20% discount off the standard ticket price). This offer is available to employees and their partners. The offer does not extend to family and friends. Employees are welcome to invite friends at the standard ticket price. Your details Title_________ First Name ________________________ Surname ___________________________________

Postal Address: ____________________________________________________________________________

Suburb _______________________________________ State _____________ Post Code _________________

Phone: _______________________________ Email: ______________________________________________

Garvan salary number: ___________________

Ticket Purchase I would like to purchase __________ tickets at the Garvan employee rate of $140 per person. I would like to purchase _______ tickets at the standard rate of $175 per person. Total purchase: $ ________ Names of guests (maximum of 10 per table)

1 6

2 7

3 8

4 9

5 10

Please list any special dietary or seating requirements for your guests

___________________________________________________________________________________ Payment Options ���� Cheque. Please make cheque payable to Garvan Research Foundation

���� Credit Card. Please deduct the payment total from my credit card.

Card Type � Visa � Mastercard � American Express Card Number _________________________________________________ Expiry Date ____________

Name on Card __________________________________________ Signature ____________________

Thank you for your kind support. A confirmation and receipt for this tax invoice will be mailed to you. Garvan Research Foundation (GRF) ABN: 91 042 722 738. Enquiries: Kylie Sherwood-Kelly. Tel. 02 9295 8108 Email. [email protected]

Garvan Research Foundation (GRF) is the marketing and fundraising arm of the Garvan Institute. ABN: 91 042 722 738. GRF oversee the activities

of Young Garvan volunteer group.

Tax Invoice / Garvan Employee Booking Form