DEBRA - A QLD GREETING CARD ORDER FORM

Name:
Postal Address:
e-mail: *
Telephone:
Mixed blank greeting cards, 4 varieties 5 cards per pack.
Number of Packs being ordered
(please tick selected amount)		 One pack @ $10.00   Two packs @ $20.00  
Five packs @ $50.00   Ten packs @ $100.00  

Enter specific quantity of packs  quantity 

Cards will be posted out on receipt of payment

Please select payment method: Directly to the account   Cheque via POST   Money order  

Payment Information Payment can be made by cheque, money order or banked directly into the DebRA bank account:

Step 1 - Deposit directly
DebRA - A Qld (Commonwealth Bank)
BSB - 064427   A/C - 10098012
(If you are banking / transferring money directly into the account please attach proof of receipt)

Step 2 - Print the order form
Please forward the order form to:
DebRA - A Qld
C/o Damon
14 Amelia Street
COORPAROO, QLD, 4151

OR e-mail this form to:
gordamon@optusnet.com.au.
* Check this box to validate e-mail address and click submit to proceed.