The Black Tie RuGBy evenT of The yeaR

2011
RedsGala
The Black Tie Rugby Event of the Year
The St.George Reds invite you to join us at our 2011 Reds Gala.
On this Rugby’s Night of nights be part of the presentation of the prestigious Pilecki Medal.
Join us as we celebrate the St.George Reds 2011 Achievements.
Date
Saturday 20 August 2011
Time
7pm - 12 Midnight
Location
Dress
RSVP
the Great Hall,
Brisbane Convention & Exhibition Centre
Strictly Black Tie
Friday 12 August 2011
[email protected]
or phone (07) 3354 9313 or (07) 3354 9319
Book Your Tickets Now
For more information contact [email protected]
Saturday 20 August 2011
7pm - 12 Midnight
RedsGala
2011
The Great Hall, Brisbane Convention
& Exhibition Centre
Dress: Strictly Black Tie
The Black Tie Rugby Event of the Year
RSVP: Friday 12 August 2011
[email protected] or
phone (07) 3354 9313 Or (07) 3354 9319
Registration Form / Tax Invoice
ENTER YOUR DETAILS
Step 1
Name:
Company:
Address:
Postcode:
Phone:
Mobile:
Email:
Date:
BOOKING DETAILS
Step 2
Tables of 10 @ $1,950 inc. GST
$
Seats @ $195 per person inc. GST
$
GRAND TOTAL
inc. GST:
$
PAYMENT OPTIONS
Step 3
Electronic Transfer Queensland Rugby Union for the amount of $
Suncorp Bank: BSB # 484 799 Account # 5002 81581
Payment made: (date dd/mm/yy)
Payment reference:
(your name or company name, ABN)
GALA........................................................................................................
For electronic transfer payments, please send your transfer receipt document with your registration form
Credit card:VisaMastercardAMEX
Card number:
Amount $
(+ 3% if using credit card) Total Amount $
Name on card:
Expiry:
(date mm/yy)
Card Holders Signature:
I authorise Queensland Rugby to adjust the Total Amount if any errors are found in my calculations.
RETURN COMPLETED FORM TO: Events, PO BOX 205 Kelvin Grove DC QLD 4059
or Email: [email protected] or Fax: (07) 3856 6333 Ph: (07) 3354 9313 or (07) 3354 9319
Tax Invoice: this document will be a Tax invoice for GST when making payment. Please photocopy and retain for your references and tax records. Queensland Rugby Union Ltd ABN 95 055 120 217