'Music from the Torah' Order Form
Either print and fill out this form, then either post or fax as per the details provided below, or click here to purchase on-line.
Name: | _________________________________________ |
Address: | _________________________________________ |
_________________________________________ |
|
Town: | _________________________________________ |
State: | _________________________________________ |
Country: | _________________________________________ |
E-mail: | _________________________________________ |
Please supply 1 copy of the Music from the Torah Software on CD.
Payment by Credit Card: | [ ] Bankcard |
[ ] Visa | |
[ ] MasterCard | |
[] American Express |
Please debit my card number: | ______________________________ |
Expiry Date: | ______________________________ |
Name as shown on card: | ______________________________ |
Signature: | ______________________________ |
Note: | With the exception of American Express cards, which are billed in US dollars, the amount charged will be the Australian dollar equivalent of US $29.95 + $4.00 postage on the date of processing this order. The amount shown on the card statement may not, therefore, be exactly US $33.95. |
Payment by other method: | [ ] Cash US$34.00 (Not recommended) |
[ ] Other cheque to the value of US $33.95. |
Customers paying by credit card or direct deposit may fax the completed form
to: (+61) 398 444 777 or post to the address below.
Bank account details are available on request either by fax as above or by e-mailing research@research-systems.com.
Customers paying by cheque made out to Kevin Acres, through
the mail, may send the completed form along with the appropriate remittance to:
K. Acres
c/o Research Systems Pty. Ltd.
PO Box 42
Warrandyte
Victoria 3113
Australia