Probus Club of Breakfast Point Outing Registration Form

Click here to print blank paper form

By completing and submitting this you are committing to booking and paying for this outing.
You will receive an approval to pay if your application is successful. Payment details are in the Outing snapshot for this event

Your Name ^{(or names if for more than one person) *Required}

Your Email ^*Required

Your mobile number ^*Required

Outing or Event and Outing Reference ^*Required

Event start date

Other Info eg special dietary req. (optional)

^{100 Characters remaining
Conditions- Breakfast Point Probus Outing Policy and conditions are on the Outings page.}
I/We accept Probus Outing Policy and conditions.
Booking Type (if accommodation is included)
SingleDoubleSingle SSTwinAccessible

Payment Type
EFTChequeBank Deposit