Order Form - All Occasion Cards 

 

NOTE: To order print the completed form then mail or fax it with your payment to the address below.  This form can not be submitted  online.

 

Send the completed form below with cheque or money order to:

Friends of STARTTS
PO Box 203
Fairfield NSW 2165

Or Fax printed form with payment details to:  +61 (2) 9794 1910
____________________________________________________

 

Contact Details

Payment Details

 

Title

Cheque to: Friends of STARTTS

 

Name

Money Order to:  Friends of STARTTS

 

Surname

Credit Card (Bankcard/Master Card/Visa)

 

Organisation

Card Holder's Name

 

Address

Card Number

 

Town

Expiry Date

 

State 

Signature    

________________

 

Post Code

Date   

 

Country

   
 

Telephone (H)

   
 

Telephone (W)

   
 

E-mail

   
 

How many? 

 
 

Total Cost 

(see below)  
 

 

Cost:

A$1.50 Each (+A$1 postage and handling each; A$2 Outside Australia)
A$5 Package of 4 (+A$1 postage and handling per packet; A$2 Outside Australia)
A$10 Package of 8 (+A$1 postage and handling per packet; A$2 Outside Australia)

Service for the Treatment and Rehabilitation of Torture and Trauma Survivors (NSW) - Order Form