| | Order Form for Food Choices the IT Way
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Print this order form, fill it in, and send to:
 | | | Postal Address
Xyris Software (Australia) Pty Ltd
20 Westbourne Street
Highgate Hill Qld 4101
Australia | | | | Facsimile
07 3223 5399 |
There is no requirement to pay with this order. Payment options are credit card, bank draft or cheque.
Your Details:
| School/organisation: | | | Contact name: | | | Street address: | | | Telephone: | | | Email: | |
Please Send:
| ITEM | Cost (incl. GST and postage) | No. of copies | Total | | Food Choices the IT Way kit | $490.00 | | | | Additional Student Workbooks | $5.00 | | | | TOTAL | | | |
r Please send Food Choices on approval
r Please invoice me
r I enclose a cheque for $________
r Please charge to my credit card: __Mastercard __Bankcard __Visa
| Name on card: | | | Card number: | | | Card check ID: | | | Expiry date: | | | Signature of cardholder: | |
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