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ISSUE ORDER FORM
Print this form and post cheque or credit card details to the address below. Please tick to indicate issue(s).
Name:
Address:
State: Postcode:
Please Circle:
Visa | Mastercard |
Name on Card:
Card Number:
_ _ _ _ / _ _ _ _ / _ _ _ _ / _ _ _ _
Expiry Date
(mm/yy): _ _ / _ _
Cheques payable to: O L Society Limited
Mail to :
OVERLAND magazine
VU-Footscray Park
PO Box 14428
MELBOURNE VIC 8001
AUSTRALIA
tel +61 3 9919 4163
fax +61 3 9687 7614
ACN 007 402 673
ABN 78 007 402 673
email overland@vu.edu.au
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