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CD Order Form

Please print this page and fill out details.
Send to : Darrel Humphris, P.O.Box 6119, Central Queensland Mail Centre, North Rockhampton, QLD 4702

Click here to return to the home page.

Surname:

Given Name:

Address:

Suburb:

State:

Postcode:

Telephone: (please include area code)

E-mail:

 


Quantity of CD's @$20.00ea:

Subtotal:

Add postage & handling ($5.00):

TOTAL:


Please make cheques and money orders payable to : Darrel Humphris

Please note: This CD and cheque payment option is currently only available to Australian residents.

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