TAX INVOICE

AusIMM

ABN 59 839 002 494

PLEASE SEND REGISTRATION TO:

Lara Brock

The Sydney Mining Club

Fax: 02 9416 2583 or

Email: ausimm@lec.net.au

Sydney Mining Club Lunch

Tattersalls Club, 181 Elizabeth St, Sydney

Date of lunch:

PLEASE COMPLETE IN BLOCK LETTERING

Name	Company	Cost
(Table bookings (10 people) available)	Total Cost

Please indicate if any member of your party is vegetarian, or has special dietary needs.

Cost

Members $40.00 per person (incl. GST).

Students $10.00 per person (incl. GST). Student ID to be presented at door.

Method of Payment

I am paying by (please mark appropriately):

C Cash/cheque on the day

Bankcard Mastercard Visa Diners Amex

Card number: ……….…./………..…../……….……./…………..…. Expiry date: ………./……….

Name on card: …………………………………………………………………..………………………

Signature: …………………………………………………………………..………………………

I am contactable by: Tel: ………………………………… Fax: ………………………………

Email: …………………………………………

Cancellations must be received 24 hours before the lunch otherwise will be charged.

Any bookings received after close of business on the Tuesday prior to the lunch

will automatically be charged a late fee of $10 per person.