Trivia Night Sign Up Form

Trivia Fun Night

USO Bike Ride are heading back to Samoa 23 July - 5 August 2018 to Ride and raise awareness for Health Checks and Cancer Awareness..... All funds raised go towards logistical costs.
DATE: Saturday 12 May 2018
WHERE: Revival Centre, Tucker Lane, Clive
TIME: 4.00pm. Quiz will START @ 4.30pm sharp
COST Per Team: $80.00

Up to 6 members per team. Includes nibbles & non alcoholic drinks per table
THEME: Island Styles

Prize for Best Dressed Team
Your Name*

First NameLast Name
Email
example@example.com
Team Name: (can be changed on the night if needed):
Team Name
Team Members:

Enter your team members below. Your team members can be confirmed on the day at the Quiz - however please arrive early to allow time to do this.
Team Member 1:

First NameLast Name
Team Member 2:

First NameLast Name
Team Member 3:

First NameLast Name
Team Member 4:

First NameLast Name
Team Member 5:

First NameLast Name
Team Member 6:

First NameLast Name
Limited Numbers - First in First served!

No EFTPOS - Cash Only

Bring lots of Coins - you can buy 'an answer'

Available for Purchase: Coffee & Non Alcoholic Drinks, Kai
Supper for Sale:

We will be selling plates of Supper for ONLY $5 (Chop Suey, Marinated Chicken & Rice ) We will also have slices/cakes for sale.
Please indicate how many plates you would like to pre-order - $5.00 each*
Enter # of plates you want to order
Should be Empty:

Trivia Fun Night