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| Your Name: | |||||
| Postal Address: | |||||
| Phone Number: | |||||
| Email: | |||||
| The title of the book I would like is | |||||
| I require copy/copies of that book. | |||||
I understand
that each book costs A$9.95 including postage (if within Australia)
and enclose an amount of
being the total amount owing for this purchase. |
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| Please enter additional requests or queries here. | |||||
| Signed: _______________________________ Date:____ / ____ / ____ | |||||