DIAA BOOKSHOP

ORDER FORM

Please print this form and mail or fax (when completed) to contacts below.

POST TO: D.I.A.A. BOOKSHOP
                C/O Mrs Joan Mahoney
                207 Myers Road
                BITTERN   VICTORIA   3918    AUSTRALIA

TELEPHONE: +61 3 5983 8727
FAX: +61 3 5983 6549

NAME: ________________________________

ADDRESS: ________________________________
________________________________
________________________________

TELEPHONE:
________________________________

Please forward to me the following publications.

TITLE:____________________________________ PRICE:$

Credit Card facilities available: Please state:

Type of Card:
Name on card:

......................................................
(Signaure)

Card Number:
Expiry date:

Postage And Handling

Within Victoria $6.50 $

NSW, SA, Tas $10.50 $

Qld, WA $12.50 $

Overseas POA $

Total payment enclosed $_____________

Postage And Handling
Within Victoria	$6.50	$
NSW, SA, Tas	$10.50	$
Qld, WA	$12.50	$
Overseas	POA	$

	Total payment enclosed	$_____________

(Total price includes GST within Australia - for overseas orders, subtract 1/11th of the total price)

Please make cheques payable to: "DIAA VIC BRANCH"