The Roundhouse New Year Tour
Saturday 22nd January 2011
Please print this form, complete and post with your payment to:
The Booking Officer. SETS Tours, PO Box 275, Broadway, NSW, 2007
Full Name(s): ____________________________________________________________________
Postal Address: ___________________________________________________________________
_____________________________________________________________Post Code___________
Telephone Number: (____) __________________(Home) (____) __________________(Work)
Email Address: ___________________________________________________________
Concession Card No(s): __________________________ (If Applicable)
Please reserve the following number of seats on the tour:
______ x Adult(s) at $90 per person .........................................................$____________
______ x Concession(s) at $80 per person ...............................................$____________
______ x Child (5-18 years) at $60 ..........................................................$____________
______ x Family Fare at $150 (1-2 adults & unlimited children)................$____________
........................................................................................................Total: $ ____________
Payment being made by (please tick one): ( ) Money Order, ( ) Cheque, ( ) Card
If paying by Card, please complete the following:
Card Type: ( ) Bankcard, ( ) VISA card, ( ) Mastercard.
Card Number: __________________________ Expiry Date: ___ / ___
Name on Card: _________________________ Amount: $ _________
Authorisation Signature: ___________________________
Please do not send cash through the post under any circumstances.
Receipts will be distributed on the day.
Please note that all travel is strictly Non-Smoking.
OFFICE USE ONLY:
Date received: _____/_____/201_ Cheque No: ______________ Amount: ______________
Bank: _____________________ Receipt No: ______________ Ticket No: ______________
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