CLUB OTAGO

June 2012
The days details are Date Time Venue Speaker Cost Wednesday 27th June 2012 Noon for 12.15p.m. start Heartland Hotels Lounge, Level 4, Speights Stand, Forsyth Barr Stadium, Dunedin Forever young broadcaster Keith Quinn $60 per head (includes food, refreshment, prize draws)

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Please return this form and payment to Steve Davie Director of Development Otago Medical Research Foundation P.O. Box 5077 DUNEDIN 9058 stevedavie@xtra.co.nz Fax: 03/4778978 Cheques to be made out to: Otago Medical Research Foundation Direct credit to: Westpac 03 0903 0381844 01 (please ensure your name is noted on electronic payments)