Nimbin HEMP Embassy Online Shop Order Form fill out and post with your payment.
Nimbin HEMP Embassy 51 Cullen St. Nimbin NSW 2480 Australia Ph/fax: Aus 02 6689 1842 International 61 2 6689 1842 ABN: 13 556 235 405

MardiGrass 2011 Weekend Pass with Three Night Campsite - Toilets and Showers

$100 per person

Name _______________________________________ Address ____________________________________________________________________________________________

Number of Persons:__________

I am enclosing a cheque __OR Money order__ in Australian dollars for total amount________________________ OR

Contact Info: Ph:________________________ Email____________________________________________

Your name and contact details are your entry. A list is kept at the gate. Give your name and the list will be checked. (You may be asked to produce a drivers licence or similar photo ID to identify yourself.)