PRINT OUT DVD ORDER FORM AUSTRALIA: PAY BY CHEQUE OR CREDIT CARD. Complete all details including number each DVD required then submit by fax or post to nearest office below:

 
Credit cards accdepted
P.O. Box 260 CAPALABA Q. 4157 Australia
Ph. (07) 3206 4467 Fax. (07) 3206 0001
CLIENT DETAILS:
Date: Month: Year:
Title: First Name:
Surname:
Company: Position:
Address No.:
Street:
Suburb: State:
Country: Post Code/Zip:
H. Phone: W. Phone:
Fax: Email:
Prices Australia 1 - $35.00 2 - $65.00 3 - $90.00 4 + $25.00 ea. ALL PRICES INCLUDE GST
ORDER DETAILS: All DVD's Post Free 
DVD'S Qty. Click arrow to select DVD Titles. DOCUMENTARY or TV SHOWS.
DVD'S Qty. Click arrow to select DVD Titles. DOCUMENTARY or TV SHOWS.
Item 1 Item 6
Item 2 Item 7
Item 3 Item 8
Item 4 Item 9
Item 5 Item 10
DVD'S Qty. LECTURES.
DVD'S Qty. LECTURES.
Item 11 Item 23
Item 12 Item 24
Item 13 Item 25
Item 14 Item 26
Item 15 Item 27
Item 16 Item 28
Item 17 Item 29
Item1 8 Item 30
Item 19 Item 31
Item 20 Item 32
Item 21 Item 33
Item 22 Item 34

Please send the above order to: ALL PRICES INCLUDE GST

Name:............................................................................. (PLEASE PRINT )

Address:.............................................................................Postcode.................................
Country:................................ Home Phone:........................... Work Phone:..............................
I ENCLOSE PAYMENT OF:.............................. by cheque/check (payable to:...CREATION RESEARCH...)
OR charge my credit card: Visa Mastercard (Please Select)
Credit card no.: Expiry date:....................
For security purposes, please turn your credit card over and copy the last three digits:______________
Signature of card holder:........................................................................