order form
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CHRISTMAS CARDS SUPPORTING THE NEUROSURGICAL RESEARCH FOUNDATION
The NRF has eight designs for sale this year (All available for corporate overprinting orders) • Mary 90c each May the Joy and Peace of Christmas be with you always • Father Christmas 80c each
Wishing you a warm and wonderful Christmas.
• Blue Peace Dove • Sleeping Koala 90c each 80c each Peace on Earth Wishing you a Goodwill to all Merry Christmas and Best Wishes for the New Year
• Green Peace on Earth $1 each Blank inside • Merry Christmas Tree
$1 each Wishing you Happiness at
Christmas and throughout the Year. • Peace Gold Dove $1 each Blank inside
• Peace Star 90c each Peace on Earth Goodwill to all
Order direct from the NRF Office: Use the enclosed Order Form, fax or phone Ginta to order your cards now. All purchases directly support the NRF. The Charity Card Shop – now open all year OTHER NRF ITEMS IN STORE NOW! Southern Cross Arcade Lower Level, 52-62 King William Street, Adelaide The NRF now has various other gift items Open: Mon to Fri: 9.30am – 4.00pm / Sat: 10am – 4pm (October to Christmas) in store now glass wear and crystal jewellery.
Neurosurgical Research Foundation Form Please use this form for all donations and Christmas card orders.
Please post, fax or phone your form today to: Neurosurgical Research Foundation Fax: 08 8261 0945 PO BOX 698 Phone: 08 8371 0771 NORTH ADELAIDE SA 5006 Email: [email protected]
_____________________________________________________________ CONTACT DETAILS: Name ___________________________________________________________________________
Address ___________________________________________________________________________
City / Suburb _________________________________ Postcode ___________________________
Phone _________________________________ Mobile ___________________________
Email _________________________________ Fax ___________________________ _____________________________________________________________
DONATIONS: I enclose my donation to neurosurgical research for a total of: $__________
_____________________________________________________________
CHRISTMAS CARD ORDER: (all prices include GST)
Card design Cost per card No. of cards Total cost Mary 90c ________ $ __________ Blue Peace Dove 90c ________ $ __________ Green Peace on Earth $1 ________ $ __________ Peace Gold Dove $1 ________ $ __________ Father Christmas 80c ________ $ __________ Sleeping Koala 80c ________ $ __________ Merry Christmas Tree $1 ________ $ __________ Peace Star 90c ________ $ __________
Delivery: $2 for every 20 cards (e.g. $2 for 20, $4 for 40) $ __________
Total amount due $ __________ _____________________________________________________________
PAYMENT DETAILS:
• Cheque/Money Order: Please find enclosed the total of $ __________ (Please make cheques payable to: Neurosurgical Research Foundation Inc.)
• Credit Card Authority: Please debit the total amount of $ __________ (Please tick) MasterCard Visa Card Diners
Card Number: _______ / _______ / _______ / _______ Expiry Date: _______ / _______
Name on Card: ________________________________ Cardholder’s Signature:____________________