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Cd Order Form
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Subscription form (pdf 482 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
11 Colston Avenue,
Sherbrooke 3789
Victoria - AUSTRALIA
Poine: +613 9755 2266
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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:
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Or bank transfer to: medi+WORLD International
ANZ Bank
Glenferrie Branch
Account Number: 560254 6414 94039