MALAM JOLLY WESTERN 2019 - TICKET RESERVATIONS
Organised by The Peranakan Association Singapore (TPAS)

Date: 28 December 2019 (Saturday)
Time: 7.00pm
Venue: Joyden Hall
                201 Victoria Street, Bugis+, Level 7 Singapore 188067
Theme: Wild Wild West ! (Suggested attire: Western themed clothing / Sarong Kebaya / Batik shirt)

Tickets: $108 (TPAS members) / $128 (Non-members). Donation tables available at $2,500 each.

IMPORTANT:
* After reservation, we will follow-up with an email on payment details.
* Please note that booking will only be confirmed upon receipt of full payment.
* Tables will be allocated on a first come first serve basis.
* No collection of payment at venue.
* TPAS and Joyden Hall will not be liable for any loss of personal property or any injury during the evening. Any incidents would be sole liability of the guest.


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Are you a member of The Peranakan Association Singapore (TPAS)? *
Name *
Contact No. *
Address *
Number of Tickets Required *
Additional Info Required -- *For more than 1 ticket reservation, please provide us your list of Participant Names as well as indicate if he/she is a TPAS Member [ Yes/No ].  (If not applicable, type in "NA" below in order to proceed.) *
PDPA Consent Clause: (i) By submitting this Form, you hereby agree that The Peranakan Association Singapore may collect, obtain, store and process your personal data that you have provided in this form for the purpose of facilitating registration and membership update. (ii) By filling this form, you acknowledge that Google Forms will have access to all information submitted. *
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