Women With Disabilities Australia Publications Order Form

Please print out and complete the following form and forward to:

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.

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This site was developed by Carolyn Frohmader for Women With Disabilities Australia.