If you
wish to fax or post a copy of your order,
please print this following order form and send it to:
Environmental Defender's Office Ltd
Level 1, 89 York Street
Sydney NSW 2000
Fax: 02 9262 6998
q Planting the Seed: public
participation and the EPBC Act ($19)
Name _______________________________________________________________
Address/DX__________________________________________________________
____________________________________________________________________
Tel ________________________ Fax __________________________
Email ____________________________________________________
Payment details
Please tick how
you are paying q
Cheque
q
Bankcard q
Mastercard q
Visa
Postage and Handling
$5 + $1 per additional item.
Total enclosed (incl.
postage) $________________
Card Number
________/________/________/________
Card Holder's Name
_____________________________ Expiry date ___/___
Card Holder's Signature_____________________________________