ROLLER DISCO.

First Name *

Last Name *

Email *

Mobile *

Number of tickets *$10 each. Maximum cost $30 per family (immediate family members).

Do you need to hire skates? *YesNoSkate hire is an additional $2 per pair.

How many pairs of skates do you require? *

Please pay for your tickets (and skate hire if required) using this account:

A Mulari 03-0318-0882090-03

Please use your name and number of tickets as a reference.

You will also receive an email with the account details.

There are no physical tickets. Your name will be on a door list.

Thanks for your support!

Roller Disco.