Ticket Order Information

First Name
Surname
Email Address
Mobile Number

Tickets - $90.00 per person

Number of tickets
-
+
Amount due
Pledge Amount - if unable to make the event
Payment Method
Type of credit card
  • - select a option -
  • Visa
  • MasterCard
Credit card number
Expiry Date
CVV

All proceeds donated to MIC’s Ken Wood Scholarship Fund. A tax receipt will be provided once payment has been manually processed.