BE THERE TO CELEBRATE ONE OF THE MOST ILLUSTRIOUS AND DISTINGUISHED CAREERS IN THE AFL - THAT OF BRISBANE LIONS CHAMPION JONATHAN BROWN - AT THE OFFICIAL TRIBUTE LUNCH.

DATE: TUESDAY 31 MARCH 2015TIME: 12.00PM – 3.00PM

VENUE: BRISBANE CONVENTION AND EXHIBITION CENTREDRESS: BUSINESS ATTIRE

$160 PER PERSON INCLUDING A THREE COURSE LUNCH AND THREE HOUR BEVERAGE PACKAGE

FOR MORE INFORMATION PLEASE VISIT LIONS.COM.AU OR CALL 07 3335 1717

LION KINGFAREWELLING THEA TRIBUTE TO JONATHAN BROWN

LION KING

BRISBANE LIONS - ORDER FORM / TAX INVOICE ABN: 43 054 263 473 - TEL: 07 3335 1717 - FAX: 07 3891 1222 - EMAIL: sales@lions.com.au - POST: PO Box 1535, Coorparoo DC QLD 4151

CONTACT NAME:

COMPANY NAME:

ADDRESS:

EMAIL: PHONE: MOBILE:

CARDHOLDER: SIGNATURE: DATE:

HOST NAME: GUEST NAME:

GUEST NAME: GUEST NAME:

GUEST NAME: GUEST NAME:

GUEST NAME: GUEST NAME:

GUEST NAME: GUEST NAME:

I agree to these terms & conditions (SIGNATURE REQUIRED): DATE:

DESCRIPTION QTY COST/ITEM (INCL GST) SUBTOTAL

Farewelling the Lion King – Single Ticket $160

Farewelling the Lion King – Table of Ten $1,600

TOTAL (INCL GST) $

PLEASE EMAIL TO SALES@LIONS.COM.AU OR FAX THIS COMPLETED FORM TO CORPORATE SALES ON 07 3891 1222

RECEIVED: PROCESSED: FINANCE:

Friend/Family/Work Colleague Brisbane Lions Website Radio Brisbane Lions eNewsletter Other

Visa/Mastercard (please circle) Amex/Diners (please circle) Cheque/Money Order (payable to the Brisbane Lions AFC)

Direct transfer: Bank of Queensland - BSB: 124 001 - A/C No: 11 271 985 Please advise us of the transfer date: ___________

A. Payment due (incl GST) as per above $_____________________________B. + 2% Surcharge for Amex and Diners Cards $_____________________________ (A x 0.02) if applicable

C. GRAND TOTAL (incl GST) $_____________________________ (A + B)

• This document is a Tax Invoice for GST purposes when fully completed and full payment is made.• To secure your booking, a signed order form is required along with full payment.• If the booking is cancelled, a cancellation fee of 25% of the total cost is immediately payable by you. No cancellation will be accepted within 7 days of any Club event.• A 2% surcharge will be applied if using an Amex or Diners Card for your purchase.• The Brisbane Lions have a Privacy Policy. Where we collect your personal information we will act in accordance with that policy.

Please call 07 3335 1777 or email privacy@lions.com.au to request a copy of our Privacy Policy.

CONTACT DETAILS

GUEST NAMES

PACKAGE SELECTIONS

HOW DID YOU HEAR ABOUT THIS EVENT?

TERMS & CONDITIONS

PAYMENT DETAILS

BL920_B

CARD NO: EXPIRY:

BOOKING FORM

LION KINGFAREWELLING THEA TRIBUTE TO JONATHAN BROWN

LION KING