SMINK WORKS BOOKS
PO Box 2154, Fitzroy BC, Victoria 3065, AUSTRALIA
• PHONE +61 3 9018 7732(outside Australia) • PHONE 03 9018 7732 (in Australia)
ABN 899 620 379 11
Payment by:
Check/cheque [Australian or US dollars]
Money Order (Australia)/International Money Order [any country]
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Mr, Ms, Other
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First Name**
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Initial
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Last Name**
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Company Name                                                                                                                                     ABN Number** (Australia Only)
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Address**
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City**
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State**
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ZIP/Postal Code**
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Country**
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Daytime Phone Number**		 __________________________
Fax number
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E-mail**		 _______________________________
Website		 Date of Birth __ __ - __ __ - __ __
                     Month    Day      Year
** important

PRODUCT PRODUCT CODE QTY PRICE (AUD) PRICE (USD) SUB-TOTAL
Manuscript Evaluation
Template
MET   $2.95 (AUD) $2 (USD)  
Permissions Letter
Template
 PLT   $2.95 (AUD) $2 (USD)  

 






TOTAL $__________
 [   ] Check
 [   ] Money Order
[   ] Please send me a receipt/tax invoice

Your cheque/check or money order must be made payable to SMINK WORKS.

Please print out this form, fill in and post with your check/cheque or money order to:

Smink Works Books
PO Box 2154
Fitzroy BC Victoria 3065
AUSTRALIA

Please allow ONE week for delivery within Australia and TWO (2) weeks for delivery
elsewhere. (Once this form has been received the documents will arrive via direct email)