Coogan Index CD-ROM Order Form

Purchaser Details:

 

Name:

____________________________

Address:

____________________________

 

____________________________

Town/Suburb:

____________________________

State/County/Province:

____________________________

Country (if not Aus):

____________________________

Postal/Zip Code:

____________________________

Email Address:

____________________________


Please send me   Copies @ $AUD 24.90 each = $ AUD _________

Plus Postage and packaging : _________

TOTAL = $ AUD _________

 

Postage and Packaging Rates for are CD:

ONE CD: $ 3.40

TWO CDs: $ 5.50

Enquire for rates for dispatch of more than two copies, or for overseas dispatch.

 

 

Payment Method:

Cheque (personal or bank) or Money Order in AUSTRALIAN DOLLARS

Made payable to HENRY LEBOVIC

Bank Deposit

Contact us by email for bank details

Paypal
Use email address: lebovic@bigpond.net.au

Purchase Order
Only available for government bodies

 

PLEASE MAKE ALL CHEQUES PAYABLE TO HENRY LEBOVIC

 

Address for all Orders and Correspondence:

Henry Lebovic

14b Rogers Avenue,

Haberfield, NSW

AUSTRALIA, 2045

 

Email: lebovic@bigpond.net.au

Last Updated 20 Oct 2006