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Product code Description

$

00.20

)02x( sdrac ofni niarps elknA 1052 .g.e

Please attach separate sheet if you need more space

Postage and handling

Total

Name

Address

Postcode

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

Visa

AMEX

etad yripxE

rebmun draC

erutangiS

drac no emaN

APA Resources order form

Fax your order to

(+61 3) 9092 0899

or email to

resources@physiotherapy.asn.au

APA National Office, PO Box 437, Hawthorn BC VIC 3122.

Phone:

(+61 3) 9092 0888

. Fax:

(+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

INCLUSIVE

GST

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 privacy@

physiotherapy.asn.au

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.