Ticketing Form

Note: This form is NOT secure. Please read the notes regarding payments options.

Alternatively you can download and print a PDF version of the order form here.

First Name:

Last Name:

Address:

Suburb:

State:

Postcode:

Phone:

Mobile:

Email:

VIP Tickets:

Price: $150 with requested $350 tax deductable donation

A Reserve Tickets:

Price: $100

Additional Donation:

(tax deductable)

Payment Options:

Credit Card

Note: If you choose this option, print out the form, fill out the details, sign it and fax it to (02) 8569 0938 or scan and email it to soundsofsydney@sydneycoverotary.com.

Type of Card:	Mastercard Visa AMEX Diners
Card Number:
Expiry Date:

Cheque

Note: If you choose this option, print out the form and fill out the details. Cheques can be sent to:
PO Box R654, Royal Exchange, Sydney, NSW 1225
Payable to: The Rotary Club of Sydney Cove Inc.

Note: Alternatively, just fill out your contact details and “submit” the form.

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