Medusa Greek Restaurant
Tuesday 18th July
$38 pp, Purchase own drinks.
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
Membership Expression of Interest Form 2024 Breakfast Point Probus Club
Your Full Name *Required
Your email *Required
Your phone number *Required
Your Address *Required
Are you retired or semi-retired? YesNo
Your name *Required
Name of Event *Required
Meeting date *Required
Number attending *Required
If unable to attend the next meeting, please complete and submit the form below Your name or names *Required
Click below to select date
If your absence will be longer than one meeting please complete the section below eg Jan-Mar 2022 O/S 100 Characters remaining
