Unshackle the Chains – please confirm your attendance

Are you attending the 23 May 2015 event?*
- Yes
Guess why we are holding this event?*
Correct (or a near as dammit correct) answers will be entered in an attendance draw on 23 May 2015 at 18h00 (or thereabouts) where 3 prizes will be drawn.
Name*
First Last
Your Email*
Enter Email Confirm Email
Your Guest Names
First Name Surname

Please enter the names of guests / family names that will be attending - to help with salad / snack catering purposes. Click on the PLUS sign to add more names.
How many Raffle Tickets do you want?*
Also on the day we will be drawing an attendance prize for the Climbing Gear kindly donated by Tony Wellington - worth around R5000.00. The proceeds from this will be going to assist ABYC's J22 Youth Team.
The price per ticket is R50.00 - lists are available on the bar. Your entry will be assigned the next available number. Please pay your R50.00 per ticket at the event or directly into the ABYC account.

Pages: 1 2

First Name	Surname