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TABLE TALK DINING

ENROLMENT FORM

Please register me with Table Talk Dining.
 
Name   __________________________________________
Address_________________________________________
                _________________________________________
H. Phone ____________________W. Phone ___________
Mobile     ________________________________________
D.O.B.     ________________________________________
 
(For security reasons and to ensure fairness for all members
you are required to supply us with Photo ID showing date of
birth and address  i.e.  Drivers Licence)  This information is
confidential and is for our records only and will not be given
out to a 3rd party under any circumstances.
 
If paying by credit card please fax written authorisation and photo  ID to  0243886628 or
 
I wish to register for the following membership:
Membership fees are NON REFUNDABLE under any circumstances.   I agree to abide by all the Table Talk Dining Rules and Regulations
 
______________________________________
Signature
 
Six Months                 $50.00          [    ]  Renewal fees applicable
Twelve Months         $75.00          [    ]   Renewal fees applicable
Once Only                  $175.00        [    ]   No renewals fees payable
 
I __________________________________authorise Table Talk
to charge my credit card for the above membership.
(Please phone with your credit card details.  A 2% service fee applies to all Visa, Mastercard & 3% Amex credit card charges. )  or  Post to
 
Table Talk Dining
P.O. Box 5446
CHITTAWAY BAY   2261
0243623476
Fax  0243886628

ARE YOU A GOOD ORGANISER:   

DO YOU LIKE THE IDEA OF RUNNING YOUR OWN HOME BASED BUSINESS

WORK FROM HOME

TALK TO US ABOUT STARTING UP TABLE TALK IN YOUR AREA.

 

 

 

 

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