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June Phoenix Lunch

NB. Fields marked with a * are compulsory.

We're looking forward to seeing you at the Phoenix Lunch on:
June 11th 2009, 12-2pm
At Box Hill Golf Club.
PLEASE NOTE: Your booking is not completed until we have received payment.
NO PAYMENTS can be accepted on the day.

See you then,
Chris, Angela, and Janet

Name *
Maximum Allowed: 40 characters. Currently Used: 0 characters.

First name and Surname please.
Business Name *
Maximum Allowed: 60 characters. Currently Used: 0 characters.

Full name of Business please. Please mark field with n/a if you are not in business.
Your Business Address *
Maximum Allowed: 150 characters. Currently Used: 0 characters.

Please mark field with n/a if you are not in business.
Phone Number 1 *
Maximum Allowed: 12 digits. Currently Used: 0 digits.

First number we should try if needing to contact you
Phone Number 2
Maximum Allowed: 12 digits. Currently Used: 0 digits.

Alternate number for contacting you.
Email Address *

Best email address for contacting you.
How many Bookings? *
Maximum Allowed: 3 digits. Currently Used: 0 digits.

Number of Women (including yourself) for whom you are booking
Names and Business Names of your guests
Maximum Allowed: 500 characters. Currently Used: 0 characters.

Make sure you have both First and Surnames for your guests as well as their Business name. Name tags will be created from this information
Special Dietary Requirements
Maximum Allowed: 200 characters. Currently Used: 0 characters.

e.g. Gluten-Free x 1, Lactose-free x1. (Don't forget to tell us if your guests have a special requirement.
Payment Method *

This allows us to link your payment and registration
Do Not Fill This Out

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