Breeders Evening Order Form - Hanoverian Horse Society of Australia

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GPO Box 2039, Brisbane, Qld, Australia, 4001.
Web: www.hanoverian.org.au
Email: hanoverian@hanoverian.org.au
Breeder’s Evening- CDI Sydney May 2014
Name:
Address:
Phone
no.
Please fill in the details below $40.00 per person. Alternatively you can direct
deposit the funds into the account shown below and email me the receipt.
Janette.lewis@live.com.au
Hanoverian Horse Society of Australia
CBA Gatton
BSB 064 413
Account 1001 0232
Card No___________________________
Expiry Date __/__ CCV ___
Name on Card ___________________
Amount
__________________
Signature _______________________
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