Publication Order (Print an Order Form)

Please indicate order:

 

Description/Title Unit Price $ Quantity Total
Practical Policies & Procedures for Child Care Services $ 25    
They Crossed a Continent by Margaret Somerville $ 10    

TOTAL

    $

 

I enclosed __ Cheque __ Money Order

OR

Please debit my:

__ Bankcard __ Visa __ Mastercard
Card Number: _____________________
Signature _____________________
Expiry Date: _____________________
Date: ____/____/____

 

Name: ____________________________________
Address:

Postcode:
____________________________________
____________________________________
______

 

Please make cheques/money order payable to Somerville Community Services Inc.

KINDLY PRINT THIS FORM AND MAIL TO:

 

         Free Post
         Somerville Community Services Inc.
         PO Box 42644
         CASUARINA NT 0812