Dinner Ticket Order Form If you are human, leave this field blank.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 etcRegistered Official Name *Email *Mobile *Officials Dinner TicketsThank 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.123456789Table of 10 Seating RequestsPlease provide details of other teams/people you would prefer to be seated near. Dietary RequirementsPlease advise of any special dietary requirements. Payment Type *Please select your preferred payment method.Direct Deposit (preferred)Credit CardTotal Amount = $145Total Amount = $290Total Amount = $435Total Amount = $580Total Amount = $725Total Amount = $870Total Amount = $1015Total Amount = $1160Total Amount = $1305Total Amount = $1450Direct Debit DetailsBSB: 066-160 Account #: 10484606 Ref: Dinner & Name Credit CardPlease contact admin@targawest.com.au to arrange a Credit Card Payment. Please note a 1.5% Admin Fee applies to all Credit Card payments. Captcha *reCAPTCHA is required.Submit