Subscription Form

 

 

Haztech Environmental                            18 Laurel St                                                             TAX INVOICE

ABN: 27 630 291 348                             Ashburton, VIC 3147                                Date 25th November 2002

 

Description of Supply

Please start my subscription to Hazmat & Environment Notes from the                            November/December 2002 Newsletter.

Subscription Costs for 5 bimonthly issues from Nov 2002 to Sept 2003 are:                   Circle the subscription type you want

 

EMAILED to Australian destinations            -     $54.00 (includes GST)         +    2nd copy to same address + $27.00 (includes GST)

(Emailed as an Adobe Acrobat pdf file)

POSTED to Australian destinations             -     $66.00 (includes GST)         +    2nd copy to same address + $33.00 (includes GST)

Note: The above price includes a 10% Goods & Services Tax (GST) for the supply.

International destinations                            -     $54 emailed                              $66 airmail               (both with no GST to be added).

Second copy to same address                    -     $27 emailed                              $33 airmail               (both with no GST to be added)

 

(Up to a 3 year length of subscription can be accepted.)

Enclosed is a credit card authorisation or a cheque payable to "Haztech Environmental" for 5 issues.

 

Total Price Including GST (GST only applicable in Australia)                 Payment Sent $__ __ __.__ __

 

Please keep a copy of this tax invoice for your records.

 

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Tel Nr  ..........................................     Fax Nr  ............................................    Email  .......................................................................................

 

Address to: Jeff Simpson, Haztech Environmental, 18 Laurel St, Ashburton  VIC  3147, Australia                                          11-02 website

 

 

Credit Card Authorisation:

Please debit my                 VISA     /     MASTERCARD     /     BANKCARD     Account            for:          $ ....................................

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Card Number:          ...................................................................................................................................... Expiry Date: ......../..........

 

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Signed:                                                                                                                                               Date: ..............................