Full Steam to Dorrigo Tour
Saturday 25th - Sunday 26th October 2014

Please print this form, complete and post with your payment to:
The Booking Officer. SETS Tours, PO Box R868, Royal Exchange, NSW, 1225

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 $210 per person .........................................................$____________

______ x Concession(s) at $190 per person ...............................................$____________

______ x Child (12-18 years) at $190 ..........................................................$____________

______ x Family Fare at $240 (1 adult & up to 2 children)................$____________

........................................................................................................Total: $ ____________

[  ] Single Room (1 queen bed)
[  ] Double Room (2 single beds)
[  ] Family Room

Dietary requirements: _________________________________________________________________________

Payment being made by (please tick one): ( ) Money Order, ( ) Cheque, ( ) Card, ( ) Direct Deposit

If paying by Card, please complete the following:

Card Type: ( ) VISA card ( ) Mastercard

Card Number: __________________________ Expiry Date: ___ / ___

Name on Card: _________________________ Amount: $ _________

Authorisation Signature: ___________________________

Please do not send cash through the post under any circumstances.
Please make your cheque or money order in favour of "SETS Tours".
For direct deposits, please use your name and "Dorrigo Tour" as the reference (eg. J Smith SCC Tour). Deposit to: BSB: 062-000, Account: 10078481, Name: "SETS Tours"
All travel is strictly Non-Smoking.

OFFICE USE ONLY:
Date received: _____/_____/2012 Cheque No: ______________ Amount: ______________

Bank: _____________________ Receipt No: ______________ Ticket No: ______________