Back to Bali Dynasty Party 2019

The event will be held on Saturday, 9 February 2019
at the Leederville Oval - 246 Vincent Street,Leederville WA 6007.

Should you experience any issues registering please read this

Back to Bali Dynasty Party
Please complete all fields highlighted with *

First Name  *   :  
Last Name  *   :  
Address  *   :  
City  *   :  
State / Provinces  *   :  
Postal Code  *   :  
Country  *   :  
Email  *   :  
Reconfirm your email  *   :  
Telephone Home  *   :  
Work   *   :  
Mobile   *   :  

Number of tickets require

Adults  *   :   x @$45      Subtotal $  :   AUD
Children   :   x @$25      Subtotal $  :   AUD
Total Amount  *   :   $ AUD
Special seating requests
[eg like to be seated with the Browns]
  :  

If you require vegetarian food please fill in below:

Require Vegetarian   :   Yes No
Number of people   :   Adult Child
Additional comment   :  
I have read the following and agree to the terms and conditions
  • Your tickets will be emailed to you upon your credit card payment being successful
  • Cancellations within 24 hours of the event are not refundable due to the fact that we have to pay the outside catering company.
  • Please make sure that your billing address matches your credit card used

 

Discover more

Previous next

Accolades