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logo Publicis Loyalty

Order form, 2010 Australian Weather Calendar

Please fill in the order form online, print it, then send via fax or post:

Fax: 1300 732 173
Post: Weather Calendar sales, Publicis Loyalty Pty Ltd
Locked Bag 12999, A'Beckett Street PO, MELBOURNE VIC 8006, Australia

PAYMENT

Cheque or money order, in Australian dollars, payable to Publicis Loyalty Pty Ltd
Visa, Mastercard, Diners or AMEX
(credit card statements will list Calendar Sales Loyalty Millers Point as the vendor).

1. New Customer
Name:
Co/org:
Street:
Suburb:	State: P/Code:
Country:
Telephone:	Email:

2. Your Order
No. copies:	@ $19.50 (delivered Melbourne metro)
No. copies:	@ $20.00 (delivered Rest of Australia)
No. copies:	@ $20.00 (delivered New Zealand)
No. copies:	@ $23.50 (delivered Asia-Pacific region)
No. copies:	@ $24.00 (delivered Rest of the World)
Total No:	Total Cost: $ AU

3. Method of Payment
Cheque:	$ (in $ Australian made payable to Publicis Loyalty Pty Ltd), or
Charge my:	MastercardVISAAMEX
Card No:	Expiry: / AMEX Security Code:
Holder's name:


Signature:		Date: / /

4. Delivery addresses
Go to:	Order form continued ...

Back to main calendar page

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