Dinner Ticket Order Form

Please complete the following form to order tickets to the 2020 Make Smoking History Targa West Gala Dinner (supported by the City of Perth)

Competitors: Two tickets are already included in your entry fee

Additional dinner tickets can be purchased by filling out the form below.

Tables can seat up to 10 people.

Team / Official / Other

Which best describes who the dinner tickets are for?

Team eg Service Crew, Family etc

Registered Official

Name *

Email *

Mobile *

Officials Dinner Tickets

Thank you for volunteering at Make Smoking History Targa West.

Registered Officials are able to purchase a heavily discounted ticket to the Gala Dinner & Presentation at the Hyatt Grand Ballroom for only $100.

Please contact Jan direct to arrange to purchase your dinner ticket.

Email: jan@targawest.com.au
Phone: 0418 533 603‬

Number of Tickets @ $145 each *

Please select how many tickets you require.

Seating Requests

Please provide details of other teams/people you would prefer to be seated near.

Dietary Requirements

Please advise of any special dietary requirements.

Payment Type *

Please select your preferred payment method.

Direct Deposit (preferred)

Credit Card

Total Amount = $145

Total Amount = $290

Total Amount = $435

Total Amount = $580

Total Amount = $725

Total Amount = $870

Total Amount = $1015

Total Amount = $1160

Total Amount = $1305

Total Amount = $1450

Direct Debit Details

BSB: 066-160
Account #: 10484606
Ref: Dinner & Name

Credit Card

Please contact admin@targawest.com.au to arrange a Credit Card Payment.

Please note a 1.5% Admin Fee applies to all Credit Card payments.

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