Confirm Ticket Selection

Title *

First Name *

Last Name *

Email Address *

Password *

Phone *

Gender *

Male Female Other

Organisation Name *

Dietary Requirements *

Should the Gala Ball need to be postponed due to Local Government Restrictions relating to a COVID outbreak we will contact you directly to advise of the new date or discuss a refund.
Table prices are not subject to GST.
Images of the event will be taken on the day for use in promotional material. In purchasing tickets to the event you consent to these images being taken. If you wish to opt out of your image being taken please contact bronwyn.wilcox@wateraid.org.au
It is the responsibility of the Table Host to provide their guest names, full contact details and dietary requirements into Funraisin - one month prior to the event.
Should you need to change a guest name after the RSVP date please contact Bronwyn Wilcox on wilcox@wateraid.org.au or 0413 777 874 to provide your new guest name and if it is on the day.
Brisbane Town Hall reserves the right to remove unruly and intoxicated persons from the premises in accordance with the Liquor Licencing Act 1997
Any data collected for marketing purposes from this event will be used strictly in accordance with the Privacy of Information Act.

I agree to the above Terms & Conditions *