Order Form for LRRSA Publications

MAIL TO:
Sales Officer
Light Railway Research Society of Australia Inc.
PO Box 21
SURREY HILLS Vic 3127
Australia

I wish to order the following items: 

Quantity  Description                         Weight     Price  
  ______  __________________________________  ____gm     $___.__
  ______  __________________________________  ____gm     $___.__
  ______  __________________________________  ____gm     $___.__
  ______  __________________________________  ____gm     $___.__
  ______  __________________________________  ____gm     $___.__
                  Sub-total_________________  ____gm     $___.__
                  Plus Postage (click here for details)  $___.__
                  TOTAL                                  $___.__

I enclose a cheque/bank draft (in Australian currency) for : $A______.___*

OR

Please Charge my Credit Card: __ Visa Card __ MasterCard

Card no: __ __ __ __ . __ __ __ __ . __ __ __ __ . __ __ __ __ Expires: _ _ /_ _.

Cardholder's Name: __________________________________________

Signature: _______________________________________ 3 digit number: __ __ __

Your Name: ___________________________________________________

Address: ______________________________________________________

_______________________________________________________________

_________________________________ Postcode: ___________________

Email address __________________________________

Phone No. _____________________________________

Your Email address and phone number will only be used for enquiries regarding this order.