Sydney Heritage Fleet ART UNION No. 128            Permit number GOCAU/1121
Please send me the number of tickets I have indicated
(Tick one box only)    Buy 3 or more tickets at a special discount.

  1 TICKET $50
  2 TICKETS $100
  3 TICKETS $135
  4 TICKETS $180
  5 TICKETS $225
 
  6 TICKETS $270
  7 TICKETS $315
  10 TICKETS $450
  50 TICKETS $1600#
  80 TKTS $2450#

Mr/Mrs/Miss/Ms/Other: ______

Name: _______________________________________

Address: _______________________________

______________________________________

State: ___________     P/code: _________

Phone: Work (     ) _______________
          Home (     ) ________________
          Mobile (     ) _______________
Email: __________________________________________

# Indicates reward gift of free cruises 		Please debit my credit card for $________

tickbox  Mastercard    tickbox  Visa    tickbox Amex  ($1 fee applies for Amex)
My card number is
tickboxtickboxtickboxtickbox   tickboxtickboxtickboxtickbox   tickboxtickboxtickboxtickbox   tickboxtickboxtickboxtickbox

Cardholder's name (please print)____________________________

Expiry date:________/__________

Cardholder's signature _____________________________

OR
I have enclosed a cheque/postal order for $________ made payable to "Sydney Heritage Fleet"
 tickbox Autobuyer option. Yes please, I would like my future Art Union tickets automatically posted to me and debited to the above credit card, until I ask you to stop this service.
 tickbox I wish to donate $ ____________ to the Sydney Heritage Fleet instead of buying my Art Union tickets. Donations of $2 or more are tax deductible.
 tickbox If you want to be removed from our database, please tick here and return this order form.
Print out this form, complete it and mail to
Sydney Heritage Fleet, Wharf 7 Pirrama Road,
Pyrmont, NSW 2009, Australia
or FAX - 02 9298 3871
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