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)