A registration form for our President’s Australia Day Lunch at Victoria Golf Club 
Friday 29th January 2021, 12:00 for 12:30.

Please complete the form. 
Check your email is correct. Any doubts then register again. We’ll pick it up!

Cost is $75.00 PP. This includes a two course lunch and drinks. 

Please pay no later than 22nd January,  Dietary requirements must be emailed to Ken Beadle by 16th January. Seating will be arranged unless you specifically make a seating request (max 10) to Ken also by 16th (kenbeadle@optusnet.com.au)

    Your Name (required)

    Your Email (required)

    Number Coming (required)

    Names of all those coming #1

    Names of all those coming #2

    Names of all those coming #3

    Any Dietary issues: