The 2017 AICLA Award table bookings are now open. All forms must be emailed to vicdiv@aicla.org

1. 2017 AICLA (Vic) Awards
Crown Palladium
Thursday 7 December 2017
7pm – Midnight
Dress To Impress
$160.00 pp members
$180.00 pp non members
Table of 10 - $1600.00
* Diary advertisers entitled to 1 free ticket
RSVP
No Later than Friday 1/12/2017
Booking Sheet must be completed and
MUST emailed to: vicdiv@aicla.org

2. 2017 AICLA (Vic) Awards Sponsors
The Victorian Division Council would like to thank those who have provided
sponsorships for this wonderful night. We are privileged to be supported by
such outstanding businesses. Thank you to our key sponsors:

3. A.B.N. 18 074 804 167
Forward completed form to: vicdiv@aicla.org
This is a Tax Invoice. Please retain a copy for your records
2017 AICLA (Vic) Awards
Crown Palladium
Thursday 7 December 2017
7pm – Midnight
Dress to Impress
$160.00 pp members
$180.00 pp non members
Table of 10 - $1600.00
* Diary advertisers entitled to 1 free
ticket
RSVP
No Later than Friday
1/12/2017
Booking Sheet MUST be
completed and emailed
to: vicdiv@aicla.org
We look forward celebrating the night with you
Registration Form & TAX INVOICE
Name: Company
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
* * * Attach List if Insufficient Space
No. __________ X $____________
Total Cost $_____________________________
 I wish to pay via Direct Debit - contact me
or
 I wish to pay via credit card
Mastercard
(please circle)
Visa Amex
Cardholders Name:
Card Number:
Expiry Date: Amount: $
Signature:
Email Address:
(For credit card payment confirmation to be forwarded)