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Event Registration Form

Don't miss this great year-end celebration and networking opportunity
- new members and guests especially welcome.

What: cocktail reception featuring the University of Queensland (UQ) Japanese Taiko Drumming Team

Includes: deluxe canapés, beers, wines and soft drinks

When: 5.30 to 7.30pm on Wednesday 10 December 2014

Where: Sister Cities Room, Brisbane City Hall, King George Square, Brisbane

Cost: members @ $55 | non-members @ $65 | Premium Members = 1 guest free/additional guests @ member rates

To secure your booking, please complete the Registration Form below. RSVP's must close no later than 4 December 2014.

Enquiries - please email or call our General Manager Paul Sergeant on 0412 09 0412.

Please attach list
Cheque payable to QJCCI
Electronic Funds Transfer (EFT)
Credit card
Cheques payable to QJCCI should be mailed to
GPO Box 2036,
Brisbane QLD 4001
EFT payments should be made to
A/C name: QJCCI
Bank: ANZ
BSB: 014 002
A/C no: 348 884 126
EFT payments should be identifiable - e.g: 'Event: 11/12/13 - J. Citizen'
Last 3 digits on reverse of card

Please print a copy of this form for your records before you hit the SUBMIT button