The Goddess Walk
Video Order Form

How to Order

1. 	Print this page. 

2.	Forward the completed order to either
	
	Post	The Goddess Walk
		Apart 1704 / 90 Lorimer Street, 
		Docklands   VICTORIA   3008   
	
	For Further Information
 	Email:oonagh@thegoddesswalk.com

Price: A$25.00  (plus postage and handling)


Name___________________________________________________________

Address________________________________________________________

___________________________________________ Postcode __________

Phone No.________________________ Fax No.______________________

Email _________________________________________________________

Please Send Me (Qty) ______ CD              

Total Amount  A$ ____________(include Postage & Handling)

Credit Card Type:  _____ Visa  _____ Mastercard  _____ Bankcard

Card Number ______ /______ / ______ /______ Expiry Date ___/___

Name on Card __________________ Signature _____________________