2002 ADEC BOOK ORDER FORM



Name of Applicant
Institution/Organisation
Address
Suburb
State
Post Code
Phone
Facsimilie
Mobile
Email


Please indicate the number and title of the item(s) you wish to order:

Book Order
NO.BOOK TITLEQTYCOST SUBTOTAL
     
     
     
     
     
TOTAL              

Postage & handling charges: Victoria: $5.50 per report or $11 for several reports Interstate (Australia): $8.80 per report or $11 for several reports Postage includes GST


Please print and send a copy, along with your payment (cheque or purchase order) to:
Action on Disability
within Ethnic Communities Inc
13 Munro Street Coburg
Victoria 3058
Ph: (03) 9383 5566
Fax: (03) 9383 5185
Toll Free: 1800 626 078
Email: info@adec.org.au

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