The Highlands Escarpment Tour
Saturday 24th September 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:
Early Bird Member Fares
______ x Adult(s) at $120 per person .........................................................$____________
______ x Concession(s) at $100 per person ...............................................$____________
Regular Fares
______ x Adult(s) at $130 per person .........................................................$____________
______ x Concession(s) at $110 per person ...............................................$____________
______ x Child (5-18 years) at $90 ..........................................................$____________
______ x Family Fare at $220 (1-2 adults & unlimited children)................$____________
........................................................................................................Total: $ ____________
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 CPH as the reference (eg. J Smith CPH)
All travel is strictly Non-Smoking.
OFFICE USE ONLY:
Date received: _____/_____/2011 Cheque No: ______________ Amount: ______________
Bank: _____________________ Receipt No: ______________ Ticket No: ______________
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