Harewood Prize Giving Dinner

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Harewood Prize Giving Dinner - SAT 28 SEP

Please complete the following form confirming your payment into the bank account 020816-0274565-00, using your surname as reference, x 1 or x 2 tickets, and your team name as particulars. if purchasing more than 2 tickets, please complete a second form and matching payment.

Deadline for confirmation and payment is Friday 13 September due to catering requirements.

Your Name *

Your partners name if applicable

Your team *

CPL Men

CPL Women

Div 1 men

Div 1 women

Div 2 men (either team)

Div 2 Women

Mid week Men (either team)

Mid week Women

Committee

Supporter or Umpire

Life Member

Other

Grass

I have paid for

1 ticket $49

2 tickets $98

Clear selection

Any dietary requirements *

Yes

My Partner

Dietary description if required

I can confirm I have made payment, and understand tickets are non refundable after Fri 13 September *

Accept the terms

Submit

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