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FIRST NAME *
LAST NAME *
USERNAME *
PASSWORD *
EMAIL *
DAYTIME PHONE *
(for contacting you
for prizes)
(area)
(local)
MOBILE PHONE
--
021
022
027
029
(prefix)
(number)
DATE OF BIRTH *
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STREET ADDRESS *
SUBURB *
NEAREST NZ CENTRE *
-- select center --
Albany
Auckland
Birkenhead
Devonport
Glenfield
Milford
North Shore City
Northcote
Takapuna
West Auckland
GENDER *
-- select gender --
Female
Male
OCCUPATION *
-- select occupation --
Administration
Education and Training
Financial/Operations
Marketing/Sales
Retail
Social Services
Student/Teacher
Technology
Corporate/Executive
Other
WORK LOCATION
MAIN REASON FOR
VISITING US
(use the ctrl key to select more than one option)
--select interests--
After work drinks
Bands
Catch up with friends
Food special events
Guest DJs
Other
Special events
Wine Tastings
PREFFERED EMAIL FORMAT
-- select format --
HTML (images)
Text
YES, I WISH TO RECEIVE EMAIL COMMUNICATION
YES, I WISH TO RECEIVE PHONE TEXT MESSAGE COMMUNICATION
YOU WERE REFERRED BY (EMAIL)
Monday's $12.50 lunch deals Happy Hour 5pm - 7pm....Tuesday's Pizza & Pint $15.00 Happy Hour 5pm - 7pm... Wednesday's Crepes (Different option every week) $15.00 Add House Beer or Wine just $20.00.... 7.30pm Quarry Quiz (Back Feb 2012) with Great Drink & Dinner Specials.. Quarry Vouchers to be Won..... Thursday's Burger & Beer (Chicken or Beef) $16.50 Happy Hour 6-7pm $7.00 house drinks!....Friday's Live Music from 4.30pm Happy hour 6-7pm $7.00 house drinks..Saturday's 11.30am - 2pm Lunch.. Sunday Closed
