Order form

Order Form

Fax to: 02 9440 2583 International: +61 2 9440 2583

Or

Post to: Boomerang Press Mail Order

17 Vernon St, Turramurra, 2074, NSW Australia

Please send _______ copies of Hearing Aids

Name: __________________________________

Company name: ___________________________

Address:_________________________________

________________________________________

City:____________________________________

State:___________ Post/zip code:_____________

Telephone:_______________________________

Cost:

To addresses within Australia: AUD$109 per book plus shipping $xx per shipment.

(Note that this price for Australia includes GST.)

To addresses within New Zealand: AUD$99 plus shipping $xx per book.

To addresses within Asia/Pacific: AUD$99 plus shipping $xx per book.

To addresses within USA: AUD$99 plus shipping $xx per book.

To rest of the world: AUD$99 plus shipping $xx per book.

Shipping overseas is by economy air. Please note that customs charges, duties, or taxes payable within countries outside Australia (if any) are payable by the recipient at the time the goods are delivered and are not included in the prices shown above.

Payment:

Total amount remitted: ________________

Cheque / Visa / MasterCard / Bankcard / Amex (please circle)

Card number: _________________________________________________

Name on card: ________________________________________________

Expiry date: __________________________________________________

Signature: ____________________________________________________