John and Betty Order Form

Name:___________________________________________________

Address:_________________________________________________

Town:___________________________________________________

State/Province:________________ Post/ZIP Code:______________

Country:_______________________

The price is AU$25.00 per copy (That's Australian Dollars!)
Postage and handling is AU$6 per copy within Australia or
AU$14 per copy for Europe, Canada or the US.

Number of Copies:__________   

Total Price ($AU) including postage and handling:____________

Type of Card (please circle):       Mastercard        Visa       Bankcard

 

Name on Card:________________________________

Card Number:_________________________________

ExpiryDate:___________

Signature:____________________________________

Please post to:
Mathematical Association of NSW
P.O. Box 339,
North Ryde, NSW
Australia 2113.
OR fax to:
+61 2 9878 1675

Thanks a lot! Hope you enjoy it!