Name of Individual or Organisation:…………………………………

Date:…………

Number of Copies:…………..

Paperback Version- $19.95…..……………

Audio Book – 2 CD - $24.95 …………………

DAISY – Vision Version – POA……………………….

Total Cost:………………

Amount owing:………….

No GST

Terms: 7 days

Please forward cheque to: Ms Sharon Boyce

3 Girrawheen Street

Toowoomba Qld 4350

Contact Details – 0417 708 945

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Contact Details or Enquiries– 0417 708 945

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Ms Sharon Boyce 3 Girrawheen Street Toowoomba Qld 4350