RIO SAMBA NIGHTS
GUEST LIST
REQUEST FORM
PLEASE SEND IN YOUR REQUEST TO ATTEND BELOW
YOU WILL BE CONTACTED WITH A CONFIRMATION EMAIL
ONCE YOU ARE ACCEPTED INTO OUR GUEST LIST.
PLEASE CHECK YOUR EMAIL INBOX
WITHIN 48 HOURS
FOR
FURTHER INSTRUCTIONS AND EVENT DETAILS.
*
indicates required
Name:
Email:
Comment:
First Name*
*
Last Name*
Email Address*
*
Mobile Number*
(
)
-
Gender*
*
Male
Female
Gender
Referred by
Who invited you?
Number of Guests
*
1
2
3
Guest Names