Publisher: Ms Lesley Pocock
Medical Director:
Emeritus Professor Neil E. Carson
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CD ROM ORDER FORM

CD Order form (pdf 281 kb)

To avoid the need to send your credit card details over the internet, this form can be printed out for you to fax, or post to:

medi+WORLD International Pty Ltd
572 Burwood Road,
Hawthorn 3122
AUSTRALIA
Fax: +61 (3) 9819 3269
email:
admin@mediworld.com.au

Title of CD ROM you wish to purchase (plus quoted price in US$ - see price list ):

Please send this purchase to:

Name:    


Address:


Contact phone Number:


Email:

All prices listed on the previous page are in United States Dollars (US$).

Add US$5 postage for 1-2 CDs, and US$10 for 3 or more.

Credit Card type: VISA BANKCARD MASTERCARD
Expiry Date:

Card Number:
Name on card:
Total Amount:   

Or bank transfer to: medi+WORLD International

National Australia Bank Limited
Account number: 083 004 45410 2204
Branch: 330 Collins St Branch Melbourne VICTORIA

 

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