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Parties & Functions Booking Form

Contact Information
*required fields
Name: *
Contact Phone Number: *
Email Address: *
Party Information
Date: * dd/mm/yyyy
Time: * eg 1.30pm
Number of Attending: *
Party / Function Occasion: *
BBQ required: * Yes No
Function Package: * Function Platters
  Meetings
  Team Building
Other Information:
Payment
A $50 deposit is required to book and confirm your party.
I will be paying the deposit by: * Cash at Dizzyland (weekends only)
  Cheque
  EFT
  Credit Card
Referral
We love to give something back to happy customers. If you were referred to Dizzyland please let us know so we can send your friend a thankyou voucher. After your party please let your friends know about Dizzyland so you can recieve a special thankyou voucher when they book their next party at Dizzyland.
Were you referred by a friend?: Yes, Friends Name
  No
Terms & Conditions
by ticking this box , I accept the Dizzyland Terms & Conditions.*