Ticket Bookings50 – Brisbane Business Bayside

Name

Business/Organisation Name

Email

Tel No

In 50 words or less, tell us a little about your business/organisation (so we can introduce you)

Are you a Member of Brisbane Business Bayside?

Yes
No

If you are not a Member, how did you hear about the meeting?

What would you like to drink with your breakfast?

a with did

Do you have any dietary requirements? Tick all that apply

Other dietary requirements

Accessibility requirements - let us know here (eg vision impairment/hearing issues/physical limitations)

Do you have a question you would like to ask Kara Cook MP at the breakfast? If so please include it here (we may not be able to ask all questions due to time contraints)

Do you have an additional ticket holder coming along?

Yes
No

If so please let us have their details below

Name (additional ticket holder)

Business/Organisation Name (if different)

In 50 words or less, tell us a little about their business/organisation (if different)

What would they like to drink with their breakfast?

Do they have any dietary requirements? Tick all that apply

Do they have any other dietary requirements (other than those listed above)

Do they have any accessibility requirements - let us know here (eg vision impairment/hearing issues/physical limitations)

TICKET BOOKINGS (MEMBERS)

Breakfast with Kara Cook, MP for Bonner

BOOKING FORM