BAR TRIVIA VENUE ORDER FORM - Print out this form.

Venue Name

Phone Number
Fax Number
Email Address
Main Contact Person
Contact’s Mobile

Costs:

Bar Trivia
20 sets of questions supplied with answer sheets, posters and entry box - $385.00 (incl. GST)

Which set numbers do you want? (e.g. 1-20, 21-40, 41-60, etc) SET No._____ to ______

Additional Entry Forms
Packs of 100 entry forms are available for each set of questions for $5.50 each pack (incl. GST). Please tell us the “Set numbers” you need: ___________________________________

Signed : ________________________________ Date: _____/______/______

Print Name : ________________________________

Please send this form including payment by cheque to:

Bar Trivia Pty Limited
101 Neilson Street
Edgeworth
NSW 2285

Bar Trivia Pty Limited
ABN 30 104 526 712
Phone : : (02) 67669965