BYO permit application kit - VCGLR
BYO permit application kit - VCGLR
BYO permit application kit - VCGLR
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Visa Mastercard Bankcard Amex<br />
Amount<br />
$<br />
Credit card payment details<br />
Card number<br />
Name of cardholder Card expiry date<br />
/<br />
Signature of cardholder<br />
Date<br />
/ /<br />
Privacy – the Victorian Commission for Gambling and Liquor Regulation is committed<br />
to responsible and fair handling of personal information consistent with the Information<br />
Privacy Act 2000 and its obligations under the Liquor Control Reform Act 1998. This page<br />
will be destroyed once your payment has been processed.<br />
Victorian Commission for Gambling and Liquor Regulation<br />
49 Elizabeth Street, Richmond VIC 3121<br />
(Hours: 8:30 - 5:00) Monday to Friday – closed on public holidays<br />
GPO Box 1988, Melbourne VIC 3001<br />
Telephone 1300 182 457<br />
www.vcglr.vic.gov.au<br />
DX 210976<br />
ABN 56 832 742 797
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