Cancer Society Ball 2019
Table Booking/Payment Form
Organisation Name (if any)
Address Line 2
State / Province / Region
Postal / Zip Code
Table Name (for the seating plan)
Please indicate how many table(s) @ $2,560 you wish to purchase
Please note: Tables seat 10 people.
Please Note - As table numbers are strictly limited, completing the Booking Form does not guarantee ticket confirmation. The Cancer Society are operating on a ‘first in, first served’ basis and will contact you directly, to confirm you have secured your desired table/s. Payment will not be processed until your desired table/s availability has been confirmed with you.
Credit Card Type
Credit Card Number
Expiry Date MM/YYYY
Name on Card
Please enter the text from the image: