Please print this page now. Complete the details and mail to Box K860, Haymarket NSW 1240, or Fax to 02-9905-8787.
Dear NSMA,
I would like to order the following items:-
1. Red and White Large Anti-smoking Umbrellas.
Please send _____ @ $25 each.
2. Bound set of Update Newstetters, from 1 to the current issue.
Please send _____ sets @ $15 including postage.
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Tick payment method:
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Cheque attached ____ Credit card ____ Send Invoice ___ |
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For Cheques:
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Total payment enclosed is: $ ___________ |
| For Cards only: |
Issued by: Bankcard / Visa / Mastercard
Expiry date: ____ / ____ Number: ________ ________ ________ ________ Signed: ____________________________________ |
Delivery Name: ___________________________________________________
Address: _______________________________________________________
________________________________________________________________
Suburb: ____________________________ State: ________Postcode: ________
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Thank you for your support.
Note: We absorb GST input costs and therefore do not issue tax invoices. |