Singing Telegrams

Singing Telegrams
ABN 80 522 786 642

Sweep-A-Gram

Fax Request Form

There are THREE ways to order:

1. Pre-book using the information provided on this form via email to Bernadette.
(confirm pre-bookings with a faxed order form). Fax: (61 2) 8765 1211
2. Post this order form to:
Singing Telegrams, Head Office,
PO Box 555, CONCORD SYDNEY NSW AUSTRALIA 2137
3. Telephone: (61 2) 9736 3400 or (61 2) 8765 1111

Fill in and forward this form by fax to Singing Telegrams and a representative will contact you to confirm booking and price.

To place a Booking please email Bernadette with your requirements and fax this form as confirmation

* = required fields

Deliver to:

* Delivery Name 1:	Bride
* Delivery Name 2:	Groom
* Occasion:	If 'Other' please specify:
Age/Years:

Delivery Details:

* Delivery/Wedding Date:
* Delivery Day:
* Delivery Time:	Between: and (2 hr Span Required, if different extra charges may apply)
* Delivery /Venue Name:	and
* Delivery Reception /Venue Address:
* Delivery Suburb:
* Venue Phone No:
* Contact/Wedding Co-Ordinator:
* Mob. of Contact
Booking Name at Restaurant:
No. of People attending	approx.

Orderer's Details:

* Order Name:		* Relationship to recipient's:
* Phone No:		Fax No:
Mobile No:
* Email Address:

* Order Address:
* How did you find us?	If a Search

* Indicate the "Sweep-A-Gram" Package you want:
1. Chimney Sweep-A-Gram
* Poem Type:	Original	none	Transcribe your poem $35
* Gifts included are	Chimney Sweep Doll	Scroll	Message Card

* Message on Card to Read: (Up to 45 words only)

Extra Details: (Optional: Information which may be useful to the performer)

For Anniversaries Only

Fiancé's First Name

Wedding Date

Method of Payment

Payment Details: * = required fields

* Credit Card type: Major Cards Accepted	Preferred Cards: Amex & Diners
* Cardholder's Name (as it appears on the card)
* Credit Card number:
* Expiration Date:
* Cardholder's street address As it appears on your Credit Card bill
* Cardholder's city As it appears on your Credit Card bill
* Cardholder's State/Province As it appears on your Credit Card bill
* Cardholder's Zip/Post Code As it appears on your Credit Card bill
* Cardholder's Country:
* Cardholder's Telephone:

*Credit card verification number		If AMEX insert the 4 digit ID listed on the front of your card
		If B/CARD, M/CARD or VISA insert 3 digit ID on reverse of card

I would like to pay on the above credit card:		The Full Cost Amount
I would like to pay on the above credit card:		$95 Deposit - Then the remaining Balance paid as CashOnDelivery to the Performer
* You MUST SIGN	Signature:
(Office Use ONLY):	Package Cost		1. Now Just Print this form and fax it to: 61 2 8765 1211
	Extras Selected:		2. Or Cut and Paste an email it as an attachment to: bookings@singingtelegrams.com.au
	Time if Requested:		3. Or post it to: P.O Box 555 Concord 2137 NSW Australia
	Total Cost:	Inclusive of G.S.T.

**Terms & Conditions may apply depending on delivery situation
***All prices quoted are approximate and are subject to change.

A non-refundable deposit of $95.00 is required with each booking.

PO Box 555
CONCORD NSW 2137
Sydney Australia

Telephone: (61 2) 9736 3400
Facsimile: (61 2) 8765 1211

Method of Payment Payment Details: * = required fields

Method of Payment

Payment Details: * = required fields