Trivia Night Registration Form When:Fri 29th July Cost:$10pp.
Your Name (or names if for more than one person) *Required
Your Email *Required
Other Info eg special dietary req. (optional) 100 Characters remaining
Conditions- Breakfast Point Probus Outing Policy and conditions are on the Outings page, with a summary below this form.
I/We accept Outing Policy and conditions
Pay by EFT as soon as possible to ensure your place and if there are vacancies at the 9th June meeting you could pay by cheque.
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
