Ordinary People Order Form

Please tick preferred payment method.

Cheque     

Money order   

Direct deposit to account

Invoice with product.

If you wish to direct deposit to account, please check the box and details will be forwarded to you.

 Please provide the following contact information:

Name		*   Mandatory field
Title / Position
Organization
Street Address
Address (cont.)
City
State	Victoria ACT New South Wales Queensland Western Australia Northern Territory Tasmania South Australia
Post Code
Contact Phone		*  Mandatory field
FAX
E-mail		*  Mandatory field

             Please provide the following ordering information:

QTY	DESCRIPTION
	Ordinary People.     Vocal CD	$25.00    inc GST
	Ordinary People Book  only	$25.00    inc GST

Packing and Post will be charged at  $6.00 for 1 - 3 items and $12.00 for 4 items or more.

Please add the appropriate amount to your payment. Payment details are provided on the next page.

Purchase Order # (if required)

	SHIPPING DETAILS
Ship to		*  Mandatory field
Postal Address		*  Mandatory field
Address (cont.)
City		*  Mandatory field
State	Victoria New South Wales Queensland Western Australia Northern Territory Tasmania South Australia	*  Mandatory field
Post Code		*  Mandatory field
Comments, Special instructions or Questions?     You should receive an email acknowledgement within 48hrs of submitting this form. Please email jane@janemitchell.com.au if you do not receive an acknowledgement.