wavelength photography

mail order form
Order Details
ID Title Size Qty / Use Price
AUD
AUD
AUD
AUD
Contact Details (* required)
Order Number (if applicable)
Name*
Organisation
Address*
Phone/Fax
Email*
Comments / Instructions
Direct Credit / SWIFT Payment
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Total Cost
SUB TOTAL: AUD
+ Postage:
(for prints/posters only)		 Australia     $8.00 AUD
Overseas  $15.00 AUD
TOTAL: AUD
NOTE: All prices and payment are in Australian Dollars ($AUD) only. Allow 4 weeks delivery outside Australia. All prints are supplied unframed. Digital files will be emailed once payment is received.
Credit Card & Cheque Payment
 Cheque  Bank Draft  Money Order
   >  Payable to 'wavelength photography' in $AUD only
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Expiry Date          /         
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Signature                                                     

Print and complete this form and then fax or post along with payment to:
fax +61 3 9375 7584
wavelength photography
27 Lorne St, Moonee Ponds
Victoria, 3039, AUSTRALIA