Order Form for LRRSA Publications

MAIL TO:
Sales Officer
Light Railway Research Society of Australia Inc.
PO Box 21
SURREY HILLS Vic 3127
Australia
OR FAX TO:
(03) 5968 2484
International +613 5968 2484

I wish to order the following items: 

Quantity  Description                         Weight     Price  
  ______  __________________________________  ____gm     $___.__
  ______  __________________________________  ____gm     $___.__
  ______  __________________________________  ____gm     $___.__
  ______  __________________________________  ____gm     $___.__
  ______  __________________________________  ____gm     $___.__
                  Sub-total_________________  ____gm     $___.__
                  Packing charge                         $  1.10
                  Plus Postage                           $___.__
                  TOTAL                                  $___.__

I enclose a cheque/bank draft (in Australian currency) for : $A______.___*

OR

Please Charge my Credit Card: __ Bankcard __ Visa Card __ MasterCard

Card no: __ __ __ __ . __ __ __ __ . __ __ __ __ . __ __ __ __ Expires: _ _ /_ _.

Cardholder's Name: __________________________________________

Cardholder's Signature: _______________________________________

Your Name: ___________________________________________________

Address: ______________________________________________________

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Email address __________________________________

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Your Email address and phone number will only be used for enquiries regarding this order.