Full Name Address Member of Society/Societies Dietary Requirements Disability or Mobility Access Requirements Please indicate the functions you wish to attend and if you intend to stay at the Federation accommodation of choice (the Central Caleula Motorlodge, Orange) for the weekend. Optional Saturday Winery TourThe Victor Gibson Black Tie DinnerAnnual General MeetingSunday LuncheonStaying at the Central Caleula Motor-lodge I am submitting this form as i'm interested in attending the 2019 Victor Gibson Weekend in Orange 77720
