Print this form, fill in the details, attach your payment, place in an envelope, address to
Diet Advice Australia-Wide, and send by post.
ORDER FORM

Diet Advice Australia Wide
31 Giles Street
Alice Springs NT 0870
Australia

 

Title First Name Family Name
     
Address Postcode/Zipcode
   
Phone Fax E-mail
     
Signature Date
   

 

ITEM

NUMBER

EACH

COST
in Australian Dollars
The Food WheelÓ

[____]

$40.00

$________
The Food WheelÓ Illustrated Instruction BookletÓ

[____]

$10.00

$________
Plus Postage and Handling    

$ 10.00
SUBTOTAL    

$________
Minus 10% for orders with subtotal in excess of A$210  

minus

$________
GRAND TOTAL    

A$________
Australian Dollars

Please make your cheque or Money Order payable to Diet Advice Australia Wide.
Attach your payment to this order form and mail to:
Roy Price, Diet Advice Australia-Wide, 31 Giles Street, Alice Springs, 0870, Australia.

There have been visitors since
00.00am Australian CST
 1 January 2000. 		Copyright © 1999 All Rights Reserved.
Created by Roy Price, EthiCal Nutrition Services, POBox 1326, Alice Springs, Australia