Lachlans Restaurant Viennese Orchestra Booking Form

	MAKE VOV DYLAN BOOKING

	Your First Name	Your Last Name

	Your Email Address

	Your Day Phone	Your Mobile Phone

	No of adult tickets $99.00 individual with dinner $35.00 individual theatre $750 table of 8 guests
	ENTER AMOUNT HERE	Paying By
$
	PAY EFT Direct Debit Cash or Cheque (No Fee) Total	$
	PAY Visa Mastercard Amex plus3%	by phone please call 1300 596 286
	Your Mailing Address for Tickets


	How did you hear about this event and any payment notes?

PAYMENTS

Fill in this form to let us know how you will be paying.

EFT Direct Debit payment is to Zerotime Pty Ltd
BSB 032 078 A/C 503130 Westpac (No Fee)

Mail Cheques to Lachlans, Old Government House
PO Box 3789 Parramatta NSW 2124 (No Fee)

Credit Card just call 1300 596 286 (3% Fee)

EFT Direct Debit, Cheque, Cash have no added bank charges Visa and Mastercard attract a 3% bank and handling charge.

Thankyou

Welcome to Lachlan's Restaurant
Old Government House
PARRAMATTA PARK NSW 2150 SYDNEY AUSTRALIA T1300 596 286