Name:
Address:
Email:
Phone:
Product you would like to purchase
Basic Softball Pitching:
DVD: $35.00 Video: $30.00 includes GST
Advanced Softball Pitching:
PAL NTSC
Postage: $10.00 (AUS)
Total:
Credit Card Details:
Credit Card : (Select One) Visa Master Card American Express
Card Number :
Expiry Date : Month January February March April May June July August September October November December 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010
Name on Credit Card:
Signature: __________________________
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Please print and then post or fax this order form with Cheque, Money Order or Credit Card Details to: (All payments are to be made in Australian Dollars)
Tanya Harding Enterprises Pty Ltd PO Box 1499 Caloundra, Queensland 4551
Fax: +61 7 5438 0730
For multiple orders or alternative payment arrangments please phone or email Tanya: tanya_ha@tpg.com.au
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