Online Booking for AIS Silver Jubilee Gala Dinner
	In order to guarantee your reservation, please complete this form in full. Please click this link for instruction on How to Pay before choosing your payment method. Reservation is not confirmed until payments are received in full.  All proceeds from the AIS Silver Jubilee Gala Dinner will go towards supporting the establishment of the AIS educational foundation. ***SEATS ARE LIMITED SO DON'T MISS IT AND RESERVE YOUR SEAT NOW!***

	Name of main booking guest First Name Last Name Please select one I am a: AIS Parent Alumni (former students or teachers) Other Guest Graduating Year (if available) Select Option 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 Nil Email Address Phone Number Gala Dinner Ticket Earlybird price per seat (all payment methods)  @ $988.00 Earlybird price per table of 10 via credit card payment  @ $9,880.00 Earlybird "special" price per table of 10 via check or bank deposit payment  @ $9,500.00 Form Total: $0.00 I would like to pay by Please read instructions on "How to Pay" before selecting the payment method Check Bank Deposit Credit Card Please provide all guest names to avoid double booking (Please fill in another form if exceeding 10 guests.) Car Park Request (on a first-come-first-serve basis) License plate number(s) Would you like to donate any items for our lucky draw or silent auction? (Please state the item, approx value and company name. (if any)) _________________________________________________________________ Please note: 1. Price includes full buffet meal, house beer, wine & non-alcoholic beverage, an AIS 25th Anniversary Program and Silver Jubilee Gift Set. 2. Reservations are not confirmed until payments are received in full. 3. Payments are not refundable. 4. Seats are transferable with new guest names provided before event date. 5. Seat price after November 22 early bird special is $988