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Booking Form for faxing or mailing

Please complete this form and forward
together with your booking deposit of $790 per seat
by fax to 07 3221 3983
or mail to 

The Country Music Store Tours
GPO Box 3000
Brisbane 4001
Name:
Address:
 
State:                               Postcode
Phone: (day)
Phone: (Home)
Requesting Single Room (supplement applicable):               Twin Share:      Triple:
 
I enclose my cheque for $790.00 deposit per seat made out to: The Country Music Store
Or please charge my Credit Card
Card Type:                                                 Expiry Date: /
Card Number:
Name on the Card
Signature:
Date:
I'll be Rooming with

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