Booking Form for faxing or mailing

Please complete this form and forward
together with your booking deposit of $500 per seat
by fax to 07 3221 3983
or mail to 

The Country Music Store Tours
GPO Box 3000
Brisbane 4001
Australia

Name:

Address:

State:                               Postcode

Phone: (day)

Phone: (Home)

Requesting Single Room (supplement applicable):         Twin Share:      Triple:

I enclose my cheque for $500.00 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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