Instructions:
PRINT this page to make a copy of this form, then
WRITE your details on the form in pen and ink, and
POST the form with your cheque or money order to: Roaring Forties Press 6 Rattle St. New Town Hobart Tasmania 7008 Australia.

ORDER FORM

Name
________________________________________
Please supply

[......] copies of The Literary Lunch: Selected stories

[......] copies of Chaos Theory of the Heart
_____________________________

Total amount enclosed: AUD$ [......]

Calculate what you owe:

Single copy: $20 including postage.
2 to5 copies: Add to the total cost an extra $7
for postage.

I enclose: [......] cheque    [......] money order

Note: GST is not applicable as this press operates below the threshold for charging GST.

________________________________________

Deliver to: (Name)
________________________________________
Address:
________________________________________

________________________________________
City:
________________________________________
State:
________________________________________
Post code/zip:
________________________________________
Country:
________________________________________

Receipt required ?
________________________________________

www.roaring-40s-press.com