Australian National Council of Orff Schulwerk Inc.
ABN 72 214 218 823

Please print this form

Order Form

Code	Description	Price	Qty	Total
AWWOCD	Australian Ways With Orff	AU$20
	Postage & Packing Single - $4.50 Two or more $3.50 each (max $15) Overseas rates please enquire		Postage & Packing
			Total payment enclosed

 

 

 

 

 

 

 

 

 

Mr/Mrs/Ms (Please circle)   

 

First name: ________________________________________________

 

Family name: ______________________________________________

 

Address:__________________________________________________

 

            City: __________________ State: ___________________

 

Postcode: ___________________ Country ________________________

 

Contact: Phone: __________________________  Fax: ____________________

 

                Email: ___________________________________________________

 

1 Paying by cheque or money order
Please make cheques payable in Australian dollars to "ANCOS Inc"
1 Paying by credit card.

1Visa 1 Bankcard 1 MasterCard 1Other ______________________________

 

Name on card _____________________________________________

Number 1111111111111111

 

Expiry Date _______________________   Signature _______________________

 

Send by mail to: The Treasurer, ANCOS Inc C/- Q.O.S.A. P. O. Box 1881 Milton, Queensland 4064

Last Updated July 19, 2004

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