KIT AND BOOK ORDER FORM

AUSTRALIAN MINIATURE ENTHUSIASTS ASSOCIATION INCORPORATED (Incorporated under the Associations Incorporation Act, 1984) KIT AND BOOK ORDER FORM Please print, complete and post form with your payment to: AMEA Inc. Book Sales PO Box 172 Cherrybrook NSW 2126 AUSTRALIA NO OVERSEAS orders can be accepted at this time All prices quoted are in Australian dollars AUD$ Postage and handling extra. Email AMEA for estimate. Step 1 of 3 Print this form and complete delivery payment details below Step 2 of 3 Record details from Kit and/or Book List on this form Step 3 of 3 Confirm Postage/Handling with AMEA then post form to AMEA Your contact details for delivery Title Name Surname Address Suburb State Tel / Fax Email Post Code Your AMEA Membership No. Method of Payment Total amount payable: AUD $ Cheque or Money order APPLICABLE TO AUSTRALIAN RESIDENTS ONLY (make payable to AMEA Inc. Please write your name and address on the back) Name on card Card # Expiry Date Month — Year — — Signature Date ORDER DETAILS: (AMEA code, title and price) Form last updated 16 Nov 2007 Office Use only MYOB Receipt # CC auth no Banked Page 1 of 1