CHRISTMAS CATALOGUE 2014 ORDER FORM ORDER FORM DESCRIPTION YOUR DETAILS PRICE QTY TOTAL First Name: Last Name: CHRISTMAS CARDS (per pack of 10) Wrens with Tinsel $9.00 $ 12 Days of Christmas $9.00 $ Aussie Animals $8.00 $ Christmas Trees $8.00 $ Address: Suburb: State:Postcode: Contact Number: Email: CHRISTMAS GIFTS Christmas Tea Towel $15.00 $ Australian Bush Ballads $15.00 $ Just Soup Cookbook $15.00 $ Sub Total PAYMENT DETAILS Total Payment: $ We will endeavour to process your order within 7 days of receipt. Please allow up to 7 working days for delivery. Please find enclosed: $ Cheque / Money Order (payable to Parkinson’s Victoria) POSTAGE AND HANDLING (not applicable for gift card) OR charge my: Orders $20 and under $6.00 $ Order from $21 to $65 $9.00 $ Order over $65 $12.00 $ Name on card: $ Signature: Sub Total $45.00 Sub Total Card Expiry: CVV Code: All Christmas cards and gifts available while stocks last. Do not send cash in the post. Please detach completed order form and return with your cheque, money order or credit card details in the enclosed Reply Paid Envelope to: $ Parkinson’s Victoria 8B Park Road Cheltenham VIC 3192 Or email to: [email protected] $ ABN: 68 038 728 034 DONATIONS I would like to make a donation to Parkinson’s Victoria. Mastercard Card Number: PARKINSON’S VICTORIA GIFT CARD (100% tax deductible with no postage and handling fee) Gift Card VISA $ (Donations $2 and over are tax deductible) For more information about Parkinson’s Victoria’s membership and support for people living with Parkinson’s: TOTAL PAYMENT DUE Call (03) 9581 8700 Free call 1800 644 189 or visit our website: GST Tax Invoice (for business only) $ While stocks last. parkinsonsvic.org.au