Publisher: Ms Lesley Pocock
Medical Director:
Emeritus Professor Neil E. Carson
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World CME Subscription Form

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
572 Burwood Road,
Hawthorn 3122
Victoria - AUSTRALIA
Fax: +61 (3) 9819 3269

Alternatively, you can email your details to:

admin@mediworld.com.au

NOTE: On placement of an order this form becomes a TAX INVOICE.
Please keep a copy for your records.


I would like to subscribe to World CME for ONE YEAR.

Name:


Postal Address:


Country:


Post Code:

Contact Phone Number:


Email:

Date (dd/mm/yy) :



CME section
Video section
Individual subscription
Group subscription


I am eligible for the Low Income nation free subscription: Yes No

Check subscription rate/per annum

Middle Income Nation subsidy; US$10

Full price; US$50


Online access:
(a personal password will be issued to you by medi+WORLD International)

Access via set of 5 CD ROMs:
(incurs an additional US$12 surcharge for postage and handling)



Credit Card type: VISA BANKCARD MASTERCARD

Expiry Date:

Card Number:
Name on card:
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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