As I am unable to attend, I would like

							Response form – please fax to Kylie Westaway on 02 9252 1264
by Tuesday 18 September 2007
         As I am unable to attend, I would like to make a tax deductible donation of $_______
         for the National Trust.
         I will be attending the special viewing with: ______ guests at $60 per head
Name ________________________________________ Phone ______________________
Address ___________________________________________________________________
Names of those attending _____________________________________________________
__________________________________________________________________________
Total payment due $_____________________
Please find enclosed my cheque (made payable to the National Trust of Australia NSW)
  Visa                 Mastercard                 American Express                 Diners
Card number                                                               Expiry ____ / ____
Signed ____________________________________________________________________