LOUIS BRAILLE AUDIOCredit Card Fax Order Form

Libraries and schools receive a 10% discount for all orders under $500 and 15% discount for orders over $500

Qty

ISBN

Author

Title

Format

Price

Total

Discount (if applicable)

Sub-total

*Plus postage and handling charge

TOTAL (inc. GST)

Orders outside Australia will receive a 9% (approximate) rebate

*Postage & handling charges (Australia):1 item $4.50, 2-4 items $8.00, 5-10 items $14.50, over 10 items $25.50

Overseas shipping charges on application

Fax to (within Australia): (03) 9864 9646 or internationally +61 3 9864 9646

Credit Card type:     Visa          MasterCard        Bankcard (Australian only)

Credit Card number:                              Expiry date:   /   

                    Name on card:                                                        Signature:

We may need to contact you to confirm details.

Replacement cassettes are available at $7.70 each. Replacement CDs are available at $11.00 each.

Mark to the attention of:

School or Library (if applicable):

PO Box or Street Address:

Email:

Phone:

Order no:

Include me on your mailing list: YES / NO

Louis Braille Audio, a not-for-profit division of Vision Australia ABN 73 094 583 874

PO Box 860, Hawthorn Vic, 3122, Australia  Telephone +61 3 9864 9645  Facsimile +61 3 9864 9646

website: www.louisbrailleaudio.com

Please note this order form should be faxed or sent via mail only. We do not recommend it be emailed.

We accept no liability for fraud or misuse of credit card details if you email this form.