JustData
Bodhi History Order Form (1 Category ordered with a BodhiGold subscription)
Please complete the blue areas on this Order Form and Mail or Fax it to the Address indicated at the end of this form. To ensure a swift processing of your order, please type details in all relevant sections. ( * = Required Fields)
Name Details
*First Name : *Surname :
Address Details
*Number/Street :
 
*Suburb/City :   *State :
 
*PostCode/Zip : *Country :
Contact No.
*Day Phone : Facsimile :
 
*Email Address :
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* When entering Phone/Fax numbers please enter the complete International codes and prefixes.
Product Unit Price
Bodhi History - One Category (on CD-ROM) $ 35.00 AUD
Postage and Handling $11.00 AUD*
TOTAL AMOUNT $ 46.00 AUD
Historical Categories - Select 1 history category from the drop-down box below: ---------------------------------------------------
* Australian Postage. International Postage will be charged at cost.
 Paying By Credit Card  If you intend to pay with a Credit Card please complete the section below.
Select Card Type : Card  
Number :
AMEX  
Security Code :
Name on Credit Card : Expiry Date :
Signature on Card :
 
Total Amount : $ 46.00 AUD
Paying By Cheque/Money Order
Please find attached a Cheque for the Grand Total Amount listed in the Product section of this form.
Mailing Details
Please Mail this completed form, with the Attached Cheque/Bank Draft (if applicable) to the following Address:
or Fax: (07) 3821 1287 (Australia)  |  Fax: + 61 7 3821 1287 (International)
JustData - PO Box 1067
Cleveland QLD 4163  AUSTRALIA