NSW National Parks Annual Pass Order Form Customer details (please ensure all details are fully completed below) Title First name Surname

Address

City State Postcode

Phone ( ) Mobile E-mail Vehicle State of vehicle Vehicle type registration registration Car, Motorcycle Type of pass Australian Seniors Please select which passes you would like Full price Card holder discount Excludes Senior Savers Card 1 year All Parks Pass - includes $190 $152 2 year All Parks Pass - includes Kosciuszko National Park $335 $268 1 year Multi-Parks Pass - excludes Kosciuszko National Park $65 $50 2 year Multi-Parks Pass - excludes Kosciuszko National Park $115 $90 1 year Country Parks Pass - see country parks list (Page 3) $45 $35 2 year Country Parks Pass - see country parks list (Page 3) $75 $60 1 year Single Park Pass - see country parks list (Page 3) $22 $17 2 year Single Park Pass - see country parks list (Page 3) $40 $30 Indicate the name of the single country park

Second Household All Parks Pass 1 year $95 2 year $167.50 Vehicle State of vehicle Vehicle type registration registration Car, Motorcycle

Total $ Method of payment (cash cannot be taken as a payment method) Cheque - Please make cheque or money order payable to: National Parks and Wildlife Service. Credit Card - I permit NSW National Parks and Wildlife Service to contact me by telephone, Monday - Sunday, on receipt of this order form, to complete my credit card payment. For your security, NSW National Parks and Wildlife Service will not request credit card details in writing.

Submitting your application By submitting this form, you agree to abide by the Annual Pass Conditions of Use (next page). Seniors Card Holder ONLY - please supply a clear copy of your vehicle registration and both sides of your Seniors Card with your application. Submit by email: [email protected] or Mail: National Parks Contact Centre, Locked Bag 5022, Parramatta NSW 2124. Please allow up to one (1) month to receive your NPWS annual park pass. NSW National Parks annual pass conditions of use

Please be aware that upon receipt of your annual pass you accept the terms and conditions listed below.

1. This annual pass is only valid for private use motor vehicles with up to eight (8) seats. 2. This annual pass is not valid for taxis, hire vehicles, rental vehicles, buses or mini-buses. 3. This annual pass can only be used on the nominated motor vehicle and for the duration specified on the pass. The pass, including the registration and expiry date information that is printed on it, must be clearly visible from the exterior of the motor vehicle and must not obstruct the driver’s vision. 4. This annual pass must be permanently attached to an untinted, fixed glass on the motor vehicle. It is recommended that it be attached to the driver’s side and preferably to the windscreen. Do not put this pass onto windows that can be opened and closed, that have film tinting or to the coloured tint along the top of the windscreen. 5. Entry to NSW National Parks and Wildlife Service managed lands may be restricted due to safety, conservation or operational requirements. 6. This annual pass is valid until the date shown and provides entry for the nominated motor vehicle to NSW National Parks and Wildlife Service managed lands as specified on this pass. This pass does not include access to sites that charge a landing fee or to other fee-charging activities in parks such as camping, Discovery, museum entry and tours. 7. This annual pass may only be transferred if it is damaged or the motor vehicle is sold. To enable the transfer, you must surrender the original pass and provide proof of purchase (further conditions apply). Contact the National Parks Contact Centre by phone on 1300 072 757 (13000 PARKS) or by email [email protected] for more information. 8. Lost, misplaced or unused passes will not be replaced or refunded. 9. Failure to comply with the terms and conditions above may result in a penalty (infringement notice being issued) or this annual pass being revoked.

The Annual Pass does not include: • Entry to NSW parks and reserves that are not under the direct management of the NSW NPWS. • Entry to national parks in any other state. It is not an -wide pass. • Entry to Booderee National Park (managed by Parks Australia). • The Ski tube in Kosciuszko National Park. • The Basin in Ku-ring-gai Chase National Park or the islands in Harbour National Park where a per person fee applies to each visit.

Other types of Annual Passes • Replacement pass - an Annual Pass can be replaced if damaged. The damaged pass must be returned to NPWS before a replacement pass will be issued. Call 1300 072 757 (13000 PARKS) for details. • Passes for parks and reserves not under the direct management of the NSW NPWS - please contact the local park office.

Office Use Only Date Received Pass Number Expiry Date

NSW National Parks annual pass

Single Park Pass provides entry to one park from the following list.

The Country Parks Pass provides entry to all of these parks.

These passes do not allow vehicle entry into Kosciuszko National Park or parks in the Sydney Area.

Bald Rock National Park Kanangra-Boyd National Park Blue Mountains National Park Boonoo Boonoo National Park Limeburners Creek Booti Booti National Park Mebbin National Park Border Ranges National Park Munmorah State Conservation Area National Park Murramarang National Park Broken Head Nature Reserve National Park Tyagarah Nature Reserve Park Nature Reserve Burragorang State Conservation Area Warrumbungle National Park Cape Byron State Conservation Area

Crowdy Bay National Park Gibraltar Range National Park Yuragir National Park