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Earth Resources - Product Order Form

Download the PDF version of this document: Order Form

 

Product Description Qty Price
     
     
     
     
     
     
     
     
     
     
     
     
*Postage and handling
 
Please send indicated maps / reports / CDs / DVDs (including postage) TOTAL COST $
 


*Postage (estimates only): Up to $20.00 - $3.80, between $20.00 and $100.00 - $6.50, between $100 and $300 – $8.65, over $300.00 - $20.00, Overseas orders - POA

 

SEND or FAX this order to:

Information @ DPI
GPO Box 4440
Melbourne,
Victoria 3001,
Australia

Ph: +61 3 9658 4440
Fax: +61 3 9658 4760

Cheques payable to:

Department of Primary Industries

Cheque Money order Credit card Paid on invoice (Orders >$200 only)


Credit Card Holder Details:

 

Card No. | | |


/ Bankcard Mastercard Visa

 

Privacy Statement - The personal information collected on this form will be used to complete your order. You have the right of access to this information by contacting the Department of Primary Industries at the address mentioned on this order form. Your personal information will not be disclosed to anyone else outside DPI. All credit card details will be destroyed as soon as the transaction has been processed.

 

 

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