Festive Lunch - Retired Doctors Event

19 November 2025

First Name *

Last Name *

AMAVIC membership status *

Phone *

Email *

Do you have any dietary requirements or food allergies to be aware of?

Emergency Contact: *

Emergency Contact Phone Number: *

Relationship: *

Ticket Quantity *

Guest Name: *

Guest - AMAVIC membership status *

Do they any dietary requirements or food allergies to be aware of?

Guest 2 Name: *

Guest 2 - AMAVIC membership status: *

Do they any dietary requirements or food allergies to be aware of?

Guest 3 Name: *

Guest 3 - AMAVIC membership status: *

Do they any dietary requirements or food allergies to be aware of?

PAYMENT METHOD: *

Online via credit card (preferred)

Offline via bank transfer or cheque

I acknowledge that a refund is not always possible if cancelling for any reason.

CHECK OUT: *

Retired Doctors (Festive Lunch) x 1 ticket

Cost includes: two-course festive lunch at Young and Jackson, along with drinks, tea and coffee.

AU$80