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| To: |
Central Queensland Koala Volunteers |
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PO Box 1489 |
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Rockhampton
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FAX +61 7 4930 9156 |
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E-mail Gail Tucker |
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Name: |
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Address: |
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Phone: |
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FAX: |
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| Number |
Item |
Unit Cost |
Total |
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St
Bees Island Post Cards |
$1.00ea |
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Postage and handling |
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International 1 to 9 items |
$6.00 |
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International 10 or more items |
$15.00 |
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National (au) 1 to 9 items |
$4.00 |
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National (au) 10 or more items |
$10.00 |
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TOTAL |
$ |
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Payment Method |
Amount |
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Cheque / Money Order |
$ |
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Credit Card / MasterCard / Visa |
$ |
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| Card Holders Name: |
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| Card Number: |
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| Expiry Date: |
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| Signature: |
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