Retired Doctors Event - Geelong Gallery
10 September 2025

First Name *

Last Name *

AMAVIC membership status *

Phone *

Email *

Emergency Contact: *

Emergency Contact Phone Number: *

Relationship: *

Transport: *

Ticket Quantity *

MENU SELECTION: there are 3 main options, 3 pizza options and 3 pasta options to choose from. Please select 1 meal from the list below:

Meal Choice: *

Chicken alla Romana, with lemon and herbs, potatoes, olives, and artichoke

Cotechino (pork) sausage with lentils, spinach and polenta

Panfried quail served with sauteed potatoes, mushrooms and spinach

Piemontese Pizza - Tomato, mozzarella, ham, mushrooms, and taleggio cheese

Calabrese Pizza - Tomato, mozzarella, salami soppressa, red pepper and olives

Lombarda Pizza - Tomato, mozzarella, pumpkin, spinach, walnuts and gorgonzola

House made Pasta shape of the moment with pancetta, fresh tomato and scamorza cheese (smoked)

Mezzelune pasta filled with spinach and ricotta served with an asparagus and mushroom sauce

Pappardelle with a goat and mushroom ragu (gluten free available)

Guest Name: *

Guest - AMAVIC membership status *

Guest Meal Choice: *

Chicken alla Romana, with lemon and herbs, potatoes, olives, and artichoke

Cotechino (pork) sausage with lentils, spinach and polenta

Panfried quail served with sauteed potatoes, mushrooms and spinach

Piemontese Pizza - Tomato, mozzarella, ham, mushrooms, and taleggio cheese

Calabrese Pizza - Tomato, mozzarella, salami soppressa, red pepper and olives

Lombarda Pizza - Tomato, mozzarella, pumpkin, spinach, walnuts and gorgonzola

House made Pasta shape of the moment with pancetta, fresh tomato and scamorza cheese (smoked)

Mezzelune pasta filled with spinach and ricotta served with an asparagus and mushroom sauce

Pappardelle with a goat and mushroom ragu (gluten free available)

Guest 2 Name: *

Guest 2 - AMAVIC membership status: *

Guest 2 Meal Choice: *

Chicken alla Romana, with lemon and herbs, potatoes, olives, and artichoke

Cotechino (pork) sausage with lentils, spinach and polenta

Panfried quail served with sauteed potatoes, mushrooms and spinach

Piemontese Pizza - Tomato, mozzarella, ham, mushrooms, and taleggio cheese

Calabrese Pizza - Tomato, mozzarella, salami soppressa, red pepper and olives

Lombarda Pizza - Tomato, mozzarella, pumpkin, spinach, walnuts and gorgonzola

House made Pasta shape of the moment with pancetta, fresh tomato and scamorza cheese (smoked)

Mezzelune pasta filled with spinach and ricotta served with an asparagus and mushroom sauce

Pappardelle with a goat and mushroom ragu (gluten free available)

Guest 3 Name: *

Guest 3 - AMAVIC membership status: *

Guest 3 Meal Choice: *

Chicken alla Romana, with lemon and herbs, potatoes, olives, and artichoke

Cotechino (pork) sausage with lentils, spinach and polenta

Panfried quail served with sauteed potatoes, mushrooms and spinach

Piemontese Pizza - Tomato, mozzarella, ham, mushrooms, and taleggio cheese

Calabrese Pizza - Tomato, mozzarella, salami soppressa, red pepper and olives

Lombarda Pizza - Tomato, mozzarella, pumpkin, spinach, walnuts and gorgonzola

House made Pasta shape of the moment with pancetta, fresh tomato and scamorza cheese (smoked)

Mezzelune pasta filled with spinach and ricotta served with an asparagus and mushroom sauce

Pappardelle with a goat and mushroom ragu (gluten free available)

PAYMENT METHOD: *

Online via credit card (preferred)

Offline via bank transfer or cheque

CHECK OUT: *

Retired Doctors (Geelong Gallery) x 1 ticket

Cost includes: entry to Geelong Gallery Archibald Prize 2025 Exhibition and Lunch at Caruggi Restaurant

AU$75