Powerhouse & Rogan's Hill Discovery Tour
Saturday 13th March 2010
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: __________________________ (If Applicable)
Please reserve the following number of seats on the tour:
______ x Adult Members at $30 per person .................................................$____________
______ x Concession Members at $25 per person .........................................$____________
______ x Child (5-18 years) Members at $25 per child ..................................$____________
______ x Adult Non-Members at $40 per person .................................................$____________
______ x Concession Non-Members at $35 per person .........................................$____________
______ x Child (5-18 years) Non-Members at $35 per child ..................................$____________
Boarding at ______________________ Station................................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 make your cheque or money order in favour of “SETS Tours”.
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: _____/_____/2010 Cheque No: ______________ Amount: ______________
Bank: _____________________ Receipt No: ______________ Ticket No: ______________
| 
