The General Secretary Goan Overseas Association NSW Inc. 19 Vermont Court Seven Hills, NSW2147

Subject: Expressions of Interest/Booking Request

I am interested in participating in the below listed GOA events. Please book the following people for the event selected.

My payment details are shown in the attachment.

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Details of the person completing this form:

Full Name:

Address:

Email:

Phone:

------------------------------------------------------------------------------------------------------ BOOK ME FOR: (For multiple selection, press Ctrl + your selection)

GOA event selection

PARTICIPANTS:

Name: Please selectMemberNon-Member

Name: Please SelectMemberNon-Member

Name: Please selectMemberNon-Member

Name: Please selectMemberNon-Member

Name: Please selectMemberNon-Member

------------------------------------------------------------------------------------------------------ EXPRESSION OF INTEREST: The following persons would be interested in participating in the below selected GOA events.

GOA events selection: Mango Cricket CupSt. Francis Xavier FeastChristmas Gala DanceGOA Golf TournamentKFC(Karaoki Fish Curry) NightBingo/Whist DriveMother's Day SpecialFather's Day SpecialIndoor Games TournamentsCamping Trips

Your Suggestions:

Probable Participants:

Name: Please selectMemberNon-Member

Name: Please selectMemberNon-Member

Name: Please selectMemberNon-Member

Name: Please selectMemberNon-Member

Name: Please selectMemberNon-Member

------------------------------------------------------------------------------------------------------ Payment Details: Please calculate the payment amount according to the details in the respective flyers. Send Payments to: St George Bank; BSB: 112 879 Account: 060 351 161 Account Name: G.O.A. NSW

Payment Method:

- If paying by cheque, please post your cheque to: 19 Vermont Court, Seven Hills, NSW 2147 and email your payment details to our Treasurer at goaadr@gmail.com File attachments: - Click Browse and please attach a pdf copy of your payment details if you have paid via on-line bank payments OR - Alternatively you can email your payment details to our Treasurer at goaadr@gmail.com

 
Related Posts:
Expressions of Interest & Booking
New-Membership/Renewal Form
GOA NSW Membership Form (Excel)

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