FREE RANGE CANBERRA
ORDER FORM
Free Range Canberra Bumper stickers are a great way to show your support for our campaign to abolish the use of battery cages in the ACT. You can purchase stickers at $2.00 each (minimum mail purchase is 5 for $10.00). Print this form and post to the address below. Please allow 4 weeks for delivery of stickers _____________________________________________________________
Bumper sticker 20cm x 7cm
Please send me (insert number) ____ packs of five stickers (at $10 each): Payment method
$ ______
I have enclosed a cheque money order made payable to FREE RANGE CANBERRA
OR
Please charge my Bankcard Mastercard Visa Card with the amount of $______
Card no.:
Name on card: __________________________________________
Expires (mm/yy) ____ / ____
Your details:
Name: __________________________________________________________________________ Address: ________________________________________________________________________ _______________________________________________________________________________ Contact (phone number and/or email address) __________________________________________
Please post completed order form to:
Free Range Canberra PO Box 320 Civic Square ACT 2608 AUSTRALIA