Wongawilli Order Form

Wongawilli Recordings Order Form

TO ORDER PRINT THIS FORM and then either:

Send cheques/money orders to:
Wongawilli Colonial Dance Club Inc. PO Box 17, Albion Park, NSW, 2527, Australia

or use Card Facilities(Visa Card / Master Card for overseas, Bankcard available for Australia)
by faxing order to (61) 2 4257 1787
or phoning order to (61) 2 4257 1788

Name: _________________________________________________

Address: _________________________________________________

Town: _________________________________________________

State: ________ Postcode: ________ Country: __________________

Email address: _________________________________________________

Credit Card Details (please fax or post):

Name on Card: ______________________________ Expiry Date: ___________

Type of Card: VISA MASTERCARD BANKCARD

Card Number: _______ / ________ / ________ /________

Signature of Card Holder: ___________________________

PAYMENT DETAILS, All prices in Australian dollars:

TITLE	NUMBER	PRICE	TOTAL
Australian Traditional Dance Tunes, Double CD plus bonus CD Rom - Issued SEPT 2001		$35 each	$________

Live at the Local CD	________	at $20 each =	$________
Live at The Local Cassette	________	at $15 each =	$________

Australian Tradition CD	________	at $20 each =	$________

Australian Selection CD	________	at $20 each =	$________
Australian Selection Cassette	________	at $12 each =	$________

After the Tradition Cassette	________	at $12 each =	$________

Tunes of Bert Jamieson Cassette	________	at $10 each =	$________

SUB-TOTAL			$________

POSTAGE IN AUSTRALIA		first 2 items	$4
	additional items $0.50 each		$________
*Please contact for Postage to Overseas destinations*
TOTAL ORDER			$________

email enquiries: desanti@bigpond.com

Last revised: February 05, 2002 by David De Santi