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You are here: Home Induction Dinner Booking Form

Booking Form Induction Event
Local / Interstate and International Visitors

(please Note, One(1) Form Per Person)

Attendee Details :

Name  
Address  

Phone  
E-Mail  
Martial Arts Style  

Demonstration / Workshop Details:

Will you be doing a demonstration   Yes No
Demonstration Description  

Please give us your travel details.

Arrival :

Carrier  

Flight No.  

Time :  

Date(dd/mm/yyyy)  

Departure :

Carrier  

Flight No.  

Time :  

Date(dd/mm/yyyy)  


Where shall you be staying, in what Location?  
Please detail any dietary requirements  

Payment :

Note
*
 Attending the dinner A$ 120 / person. If you have paid for the dinner no extra cost
for the demonstration participation
*
 Attending demonstration only A$ 40 / person

  Total Persons  
Attending Dinner
Attending Dinner and Demo / Workshop
Attending Demo / Workshop Only
Total Person
       Total 

Names of People Attending Dinner  
Names of People Attending Dinner Demonstration/Workshop Dinner  


Names of People Attending Demo / Workshop Only

  

 
Special Seating Requests
(Every attempt will be made to satisfy sitting requests dependant upon availability)		  

Payment Method :

Cheque
Money Order
Electronic Transfer
E-Banking
Direct Credit


Amahof Account Information

Cheques / Money Orders:

Make payable to AMAHOF Inc.

Direct Credit:

Account Name:

Australasian Martial Arts Hall Of Fame.    
 

Bank:

Westpac
 

BSB: 

036 082
 

Account Number:

150671

 

Send Booking Form to:  AMAHOF Treasurer, 89 Georgetown Drive, Safety Bay WA 6169, AUSTRALIA richard.burkala@amahof.com