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Account Form

To open an account with the Australian Online Bookshop, print this form (alternatively, you may apply on-line). Send the completed form to:

Australian Online Bookshop
8 Devon Road
Bassendean WA 6054
AUSTRALIA

Or send the completed form by fax to:

From within Australia: (08) 93770991
From outside Australia: +61 8 93770991


Name:

____________________________________________________________

Delivery Address:

____________________________________________________________

City:

____________________________________________________________

State:

________________________

Postcode:

_________________

Country:

____________________________________________________________

E-Mail Address:

____________________________________________________________

Phone:

_________________________

Fax:

_________________

I authorise the Australian Online Bookshop to charge my credit card with the cost and postal charges for books and other items that I order.

Mastercard / Visa / American Express / JCB

Name of Cardholder ____________________________________________

__ __ __ __ / __ __ __ __ / __ __ __ __ / __ __ __ __

Start Date: ___ / ___ Expiry Date: ___ / ___

Signature ____________________________________________________


Copyright © 1996-2006 Australian Online Bookshop. All rights reserved.
Revised: 13 November, 2006.


 
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