FAXBACK ORDER FORM
Corporate Gold Coast Transfers
Name:
___________________________________________________
Company:
___________________________________________________
Position:
___________________________________________________
Postal Address:
___________________________________________________
Phone:
_____________________ Fax: ________________________
Email:
___________________________________________________
Trips in Book
Your Rate
Total
10
Airport to Gold Coast / Gold Coast to Airport
$230.00
$
20
Airport to Gold Coast / Gold Coast to Airport
$460.00
$
50
Airport to Gold Coast / Gold Coast to Airport
$1,150.00
$
100
Airport to Gold Coast / Gold Coast to Airport
$2,300.00
$
150
Airport to Gold Coast / Gold Coast to Airport
$3,450.00
$
200
Airport to Gold Coast / Gold Coast to Airport
$4,600.00
$
300
Airport to Gold Coast / Gold Coast to Airport
$6,900.00
$
Other (Specify)
$
TOTAL
$
Gold Coast tickets are valid for travel in either direction between
Brisbane Airport and stations on the Gold Coast line.
PAYMENT METHOD
Credit Card:
Card Type:
Mastercard Visa Amex
Card Number:
__________________________________
Expiry Date:
__________________________________
Name on Card:
__________________________________
Signature:
__________________________________
Email:
Email ticket order, credit card details and address to info@airtrain.com.au
Cheque:
Mail order form and cheque to:
Airtrain Citylink Ltd,
PO Box 66, Pinkenba,
Brisbane QLD 4008.
Invoice:
Airtrain will send tickets and invoice to the address listed above.
Please call 07 3216 3308 for enquiries on Airtrain Transfer tickets.
FAXBACK: 07 3216 3361
Valid: 1
st
July 2008
Office Use Only
PO Number:
Invoice Number:
Date Sent: