Order Form
All Prices Include GST
To order on-line please fill in the details below and then click on the Submit Form button at the bottom of the page.
First Name:
Last Name:
Street Address:
Address (cont):
City:
State:
Postcode:
Contact Phone:
Home Phone:     
Fax:
E-mail:

Please Provide the following ordering information
Please send me: copies of the Voice Dialogue Series VHS Video and Audio set.

Please indicate which audio format you prefer:
Audios as 8 audio cassettes
Audios as 8 CD's

Within Australia
Private/Personal $AUS395.00 inc GST + $AUS12.00 postage & packaging
*Institutions/Organisations $AUS795.00 inc GST + $AUS12.00 postage & packaging

*Universities, Colleges, TAFES, Schools, Libraries, Businesses, Management and Government Organisations.
 The "Institutions / Organisations" purchase allows the series to be used for teaching / training purposes within the institution and for lending to individuals who are part of that institution.

Billing
Credit Card Information
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Cardholder Name:
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Expiry Date (mm/yy):
Delivery Address (if different from above)
Address:
Address cont:
City:
State:
Postcode:
Back | Home | Ecstatic States
P.O. Box 25, Rose Bay, NSW, 2029, Australia
Ph: +61 2 9371-3933 Fax: +61 2 9371-7099
Email: [email protected]