LOUNGE BRAZIL - FRIDAY 7th September 2007  
Copacabana Bondi, 195 Oxford St. Bondi Junction - 9.30pm to 3am 

ADMISSION:  $15 presale (Before 5th of September)     $20 at the door    $10 Subscribers of Viva Magazine* 

     *Offer valid only to existing subscribers, ticket must be purchased before 5/09/07

1.-	Fill the Ticket Order Form below and submit to us. You have three method of payments to choose from
	––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––– Payment by Credit Card via PayPal. Following Credit Cards are accepted: a tickect Lounge Brazil @ 15 (inc. GST) . ––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––– OR by Direct Credit can be done to:   Account name: Bank: BSB: Account #: Viva Magazine Commonwealth Bank 062165 10082344 ––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––– OR post Cheque or Money Order to:   Viva Magazine PO Box 365 Petersham, NSW 2049, Sydney - Australia
	Once we receive your Ticket Form and payment is verified, we will email you a receipt, as a confirmation of your ticket to Lounge Brazil. Please print the receipt and take it with you to collect your ticket during the night.

TICKET ORDER  FORM			* Required fields
Tickets: *	0   1   2   3   4   5   6   7   8   9 10 11 12 13 14 15 16 17 18 19 20 at $15pp (inc GST)   0   1 at $10pp (inc GST) for Viva Magazine subscribers only
Payment details: *	Direct Credit      Cheque      Pay Pal      Money Order
Date of Payment: *	Day   1   2   3   4   5   6   7   8   9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Month Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec 2007
Title:	Select Mr Mrs Ms Miss Dr
First Name: *		Last Name: *
Address: *
City: *		State: *
Post Code: *	Country: *
Telephone: *		Mobile: *
Email Address: *		Website:

Tickets are also on sale at the following places.

MUSIC FRONT – Ashfield Mall, Leverpool Rd. Ashfield - 9799 7795
FASHION BRAZIL– Shop 1, 62 Maloney St. Mascot - 0417 064 959
ABC STUDENTS – level 8, Suite 805, 368 Sussex St Sydney - 9267 0877
COPACABANA BONDI – 195 Oxford St. Bondi Junction - 9387 7041
CASA BRASIL – 98 - 106 Audley Street, Petersham - 9560 9595