THE ORDER FORM

ORDER FORM

Book cost $59.00 per book plus $17.00 postage and handling and insurance in Australia per book

Multiple copies postage on application.

Overseas postage available on request

NAME…………………………………………………………………………..

ADDRESS……………………………………………………………………...

…………………………………………………………………………………..

email:…………………………………………………………………………...

telephone:………………………………………………………………………

Number of books required……………………………………………………

Insurance Required (Yes / No)………………………………………………..

Amount Paid $........................ Date……………………………….

……………………………………………………………………...............................................................................................................................................................

Please complete and return your order to Noel & Delwyn Bergman

email your order to nadbergman@gmail.com

If more than one book is ordered, advise if to be posted to different addresses

Payment details: Cash, Bank Transfer or Cheque

BANK TRANSFER

Bank Account Name N & D Bergman

Bank Name Commonwealth Bank

Address Bribie Island

Bank State Branch Number (BSBN) 064-448

Bank Account Number 1035 6946

Reference Type in your name

(The Book will be posted on bank clearance)