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Please fill in your
address and payment details and send the completed form
with payment to our secure postal address:
AUSTRALIAN MAGNET THERAPY
17 Matthews Way, STONEVILLE
WA 6081, AUSTRALIA
Please make Cheque or Money Order payable to:
AUSTRALIAN MAGNET THERAPY.
Alternatively you may order by:
Tel:
(08) 9295 3545
(from overseas: +61 8 9295
3545) or
Fax: (08)
9295 3545
(from overseas: +61 8 9295 3545)
Office hours: 9am-5pm WAST Mon-Fri,
9am-12pm Sat, (excluding public holidays)
Answering machine available outside of office hours |
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Method of Payment: (circle one)
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Cheque
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Money Order
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MasterCard
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Visa
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Bankcard
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Please charge this purchase to my MasterCard/Visa/Bankcard:
| Card No:
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Expires:
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Card holders Name:
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| Card holders
signature: |
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