Web Order Form

Ticket Sales

.
Step 1 - Select Tickets:

AFXC Rounds

		Qty	Price Each
Saturday	Adult		$20
Sunday	Adult		$30
Two Day Pass/Sunday	Adult		$30
Two Day Pass/Sunday	Pensioner		$20
Two Day	Children (13+)		$10
	Program		$5

Total Order Value (inc GST & Freight) Aus $
.....
Step 2 - Complete Your Details

Enter a valid Email Address:		Items marked by are required.
	Postage information	Your Information: Use Postage Information
First Name	Middle Init	Middle Init
Last Name
Company
Address
City
State	Post Code/Zip	Post Code/Zip
Country
Phone	-

....
Step 3 - Selecting an Ordering Method and Payment Detail
Order Type Post Fax Web

Print/Fax/Web

Mail: The form should be printed, completed, and mailed with the appropriate payments included (credit card information or enclosed check or money order).

Fax:The order form can be printed directly to fax. Include your credit card information.

Web: Can be paid for by Credit Card or Direct Deposit.

I will pay by Direct Deposit, No Yes -- Details will be emailed to you.
Or

Please charge this order to my Credit Card.. Items marked by

are required.
**The charges may appear on your statement from: Mobile EFT ***
Credit Card Type:

Aus $
Name on Card:

Card Number:

Expiry:

Signature: ............................................( Reqired if Faxed or Printed)

If you are concerned about additonal security, simply fax or post a printed copy of this order without clicking on the Submit button. We will email you to confirm your order was received.

*Step 4* *Press Button Below*	*Step 5 (Optional)*	*Step 6* *Press Button Below*	*Step 7 (Optional)*
	Print this Order Form to YOUR Printer.		Send By Fax or Post printed order . (see details below)

-* Expect Tickets within 5 working days - If order is posted needs to be at least 10 working days before event *
Fax Orders to 02 4823-5744 or post to: Ausco, Locked Bag 2002, Golburn, NSW, 2580, Ph 02 4823-5711