Please print out and complete the following form and forward to:
Women With Disabilities Australia (WWDA)
ABN: 23 627 650 121
P.O Box 605, Rosny Park
Tasmania 7018
Australia
Name (Individual or Organisation): _____________________________________________________________________ _____________________________________________________________________ Address:_____________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ Postcode:__________________ Phone No: (Home)____________________ (Work)_________________________ Email_____________________________________________ Title/s of Publication/s and Numbers Required: _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ Total: $___________ Donation: $______________ Total Amount: $_______________ Please make any cheques payable to Women With Disabilities Australia (WWDA). A Tax Invoice receipt will be forwarded to you. If you live outside Australia, please DO NOT send any money with your Order. You will be invoiced for the publication/s and additional postage costs.
This site was developed by Carolyn Frohmader for Women With Disabilities Australia.