ORDER
FORM

UNMASKING
EVOLUTION



Your details:-

Name:_____________________________________________________________________

Postal Address: ______________________________________________________________

                        ______________________________________________________________

Country: _____________________________________  Postcode/ZIP: __________________

Email: _____________________________________________________________________

Please send me copies of the following material:-
  "Unmasking Evolution: The Resource Book" @ $10/copy......(        ) copies..........$________
  "Unmasking Evolution" (25 magazine articles) @ $5/copy......(        ) copies..........$________

  


total value of purchases......................................................................$_________


Send a cheque (check) to:-

Laurence D Smart
PO Box 175, Kippax ACT 2615
Australia

My local bank is - The National Australia Bank (Kippax branch)

(REMEMBER - Send this order form and include your return mailing address)
 
 

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