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Name:
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Phone - Home:
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DOB:
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Special Dietary Requirements: (eg Vegetarian, Gluten-free etc)

I Agree to abide by the Dining Etiquette & Dress Standards and I understand that when I attend Table Talk Events I do so by my own free will and take responsibility for any injuries I may sustain by such choice and can not hold Table Talk Dining financially responsible. Memberships Fees are not refundable.

I also agree to provide Table Talk Dining with a photocopy of my drivers licence within the next 7 days.

We will contact you once your details are received to complete the registration process.