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Rekindled Ancient WisdomAffirmation Book Order Form |
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Delivery Details: |
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Name: ______________________________________________________________________________ |
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Address: ____________________________________________________________________________ |
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Town/Suburb: _______________________________________________________________________ |
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Postcode: ______________________________ |
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State: _________________________________ |
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Country: _______________________________ |
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Contact Phone No: _______________________ |
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Email: _________________________________
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Payment Details:Credit Card Type: Visa/Mastercard/Bankcard Credit Card No: _______________________________________ Expiry Date: ____________________ Name on Card: _______________________________________ Signature: ___________________________________________ Card Holder Contact Phone No: __________________________ I have enclosed a cheque/money order/bank draft/credit card information for the amount of $AUD_____ for _____ Affirmation Book/s. Each Affirmation Book costs $AUD 38.00 (incl. GST) plus $AUD 10.70 postage within Australia. For overseas orders, the cost is $AUD 58.00 (incl. postage). Please allow 3 weeks for delivery. Send the completed order form to: Ancient Perceptions
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