'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

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