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McCulloch’s Encyclopedia of Australian Art Order Form |
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| I wish to order |
(seamail) per copy. |
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| Name | ____________________________ | ||
| Organisation | ____________________________ | ||
| Address | __________________________________ | ||
| __________________________________ | |||
| Suburb | __________________________________ | ||
| ________________ Postcode ________ | |||
| Phone | ____________________________ | ||
| Fax | ____________________________ | ||
| Mobile Phone | ____________________________ | ||
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Payment Details |
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| Payment Type |
If you select Money Order or Cheque, Post cheque or money order made payable to aus art editions to the address below. Or Please charge my credit card: |
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| Card Number |
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| Expiry Date | ____ / ____ | ||
| Name on Card |
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Fax or post this form Fax to: 61 3 9347 2330 Or post to: aus art editions PO Box 2482 Fitzroy BC Victoria Australia 3065 |
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