Product code Description
)02x( sdrac ofni niarps elknA 1052 .g.e
Please attach separate sheet if you need more space
Postage and handling
street address required for large item delivery
.on pihsrebmem APA
)H /B( enohpeleT
I enclose a cheque for $
made payable to Australian Physiotherapy Association.
or charge my: MasterCard
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APA Resources order form
Fax your order to
(+61 3) 9092 0899
or email email@example.com
APA National Office, PO Box 437, Hawthorn BC VIC 3122.
(+61 3) 9092 0888
(+61 3) 9092 0899
POSTAGE & HANDLING – (AUSTRALIA ONLY)
On orders up to $20.00 – add $10.00 On orders over $20.00 – add $20.00
ALL PRICES LISTED, INCLUDING POSTAGE, ARE
The APA acknowledges and respects the privacy of its customers.
The information that you provide on this form is “personal information”
as defined by the Privacy Act 1988.
This information is being collected for the purpose of processing your
order or answering your request for the supply of APA goods and services
including information. The intended recipients of the information are the
APA and service providers engaged by the APA.
The provision of this information is voluntary but if this information is not
provided, the APA may be unable to process your order or request.
You have the right of access to and alteration of personal information
concerning yourself in accordance with the Privacy Act. The information is
being collected by the APA and will be held by the APA.
Please direct any enquiries to our Privacy Officer at National Office,
PO Box 437, Hawthorn BC VIC 3122 or e-mail firstname.lastname@example.org
PRIVACY STATEMENT FOR CUSTOMERS
PAYMENT MUST BE INCLUDED WITH YOUR ORDER
(Please allow up to 10 days for the processing and dispatching of your order)
For large orders and bulky items please contact us for postage pricing.