Couples’ Dinner Registration Form

The couples’ dinner will be held on November 4th 2023 at 6PM.

Venue –

Novotel Swan Valley Vines resort

Verdelho Dr.,

The Vines WA 6069

GPS: -31.766073, 116.00593

Please fill out the form below to express your interest.

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Name *

First

Last

Email *

Phone Number *

Who are you coming with? *

• I'm coming alone
• I'm coming with my spouse

Check 'Yes' to express interest and to register for the Couples' Dinner on Nov 4 2023 *

• Yes
• No

Submit