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*Name

*Email Address

*Phone

Company Name

*Event Type *Event Type Team Building Hens Party Private Event Christmas Party Kids Birthday Party

*Painting Type *Painting Type Corporate Masterpiece (Corporate Special) Paint your Mate (Colleague or self) Glow in the Dark Party Original Canvas Other (We'll call to discuss)

*Location *Location Willoughby Gallery Off-Site

*Off-Site Address

*No. of Attendees

Do you want Live Music? (Free for groups 18 or more @ Willoughby) Do you want Live Music? (Free for groups 18 or more @ Willoughby) Yes No

*Preferred Date(s)

*Preferred Time(s)

Additional Information