P R E S E N T A T I O N E V E N I N G T I C K E T O R D E R F O R - PDF document

P R E S E N T A T I O N E V E N I N G T I C K E T O R D E R F O R M 22 nd Annual Wyndham Business Awards Presentation Evening Friday, 26 August 2016 Encore Events Centre, 80 Derrimut Road Hoppers Crossing. Tickets- $90 per person 7pm- 11pm Includes- Pre-dinner drinks and canapés, two course meal with beverages & entertainment. Dress: Cocktail/Business Attire *Please ensure ALL details are completed* Contact Name: ________________________________________________________________________ Company (if applicable): ____________ ___________________________________________________ Postal Address: ______________________________________________________________________ *Please note – the address you provide above will be where your tickets are posted to. If you require them to be posted to a PO Box please include that above. Phone Number: _________________________ Email: _______________________________________ TICKETS & GUESTS NOTE- Presentation evening tables seat a total of 10 guests. Please include ALL guest names in FULL along with any dietary or access requirements to ensure these are catered for. Guest Name Dietary/Access Requirements Example John Citizen Gluten Free & Disabled access required. 1 2 3 4 5 6 7 8 9 10 Office Use- Payment Processed: _________________ Tickets Sent: _________________ Table Number- __________

SUBMITTING YOUR REQUEST Once all details have been completed, please submit your form & payment via one of the following options: Email- businessawards@wyndham.vic.gov.au (with attached credit card payment form) In Person- - Wyndham Civic Centre Reception- 45 Princes Highway Werribee (cash, card or cheque payments) - Wyndham Vale, Point Cook & Tarneit Community Centres (Card payments only) Post- Please send your completed form with cheque or credit card details to.... Wyndham City Economic Development Unit PO Box 197 WERRIBEE VIC 3030 PAYMENTS- Please see attached payment details form for further details on payments. Payments can be made via Cash, Cheque or Credit Card and via email, in person or post. TICKET/SEATING ALLOCATIONS & RECEIVING YOUR TICKETS- IMPORTANT INFORMATION Tickets will be allocated and posted out to you upon payment being processed. IMPORTANT NOTE- As tickets are allocated upon requests and payments being received we cannot guarantee that any additional tickets ordered separately at a later date will be seated together. If you would like to be seated with another group or person purchasing tickets separately please indicate this on your order form at the time of ordering tickets or call us to discuss. To assist in this process we would encourage you to order your tickets at the same time. ENQUIRIES AND FURTHER INFORMATION- Amy Gilbert Economic Development Projects Phone- 8734-5416 Email- businessawards@wyndham.vic.gov.au Website- www.wyndham.vic.gov.au/businessawards

WYNDHAM BUSINESS AWARDS PRESENTATION EVENING 2016 TICKET PAYMENT FORM Payment Method: I am paying by cheque (please attach to your order form) I am paying by credit card (please include card details below) I am paying by cash* *Cash payments must be made at the Wyndham Civic Centre Reception (If you wish to pay via credit card or cheque in person this can also be done at the Civic Centre.) 45 Princes Highway Werribee Monday-Friday 8am-4:30pm Total Tickets requested- _______ Total Amount payable $__________ Tax Invoice required? (please circle) Y N CREDIT CARD PAYMENTS: Credit Card Type : VISA MASTERCARD (PLEASE NOTE: American Express cannot be accepted) Credit Card Number: Expiry Date: - Name on Credit Card: ___________________________________________________________ Signature: ___________________________________ -Once payment has been made, your tickets will be forwarded to you separately via mail- Thank you for your request OFFICE USE- Account Reference- 1businessaward Receipt Number- ______________________