15-17 Blaxland Road, PO Box 3056, Rhodes NSW 2138 - Phone: (02) 9736 2366 - Fax: (02) 9736 1155
 


 


CELEBRATING 40 YEARS

 

 

REGISTRATION FORM

Contact Details:
Name:
Address:
Town:
 State: Postcode:
Phone:
Email:
 

Accommodation & Catering Options   No. of People Booked Cost
       

Friday Evening to Sunday Lunch
including accommodation and all meals.

 Adult $112.50 $
  Family $250.00 $
       

Saturday Evening to Sunday Lunch
including accommodation and all meals.

 Adult $68.00

$

  Family $160.00 $
       
Saturday Dinner only $25.00 $
       
Sunday Lunch only $15.00 $
       
    TOTAL $
       
Accommodation Preference:
 

 
Please provide names for name tags:
 

 
Intended payment method:
  Cheque

 

Type this verification code verification image, type it in the box in the box below:

 


322 Greenwood Road
Murrumbateman NSW 2582
P (02) 6220 1000
F (02) 6220 1001
E office@warrambui.org
W www.warrambui.org