Yes, I would like to purchase a copy/copies of the above DVD and I enclose my cheque/postal note (made out to Lindsay Richmond) for $27.50 for each DVD (includes postage and handling), or debit my credit card (cards will be debited by ARHS (ACT Division)).

Number of DVDs ___________    Total Amount $____________

Please circle which card - VISA - Mastercard - Bankcard

Card Number   ______  ______  ______  ______

Expiry Date: ____/____

Name on card: ___________________________________

Signature: _____________________________________________

Address: _____________________________________________ Post Code _________

Phone Number: ( ) _____________________

Please forward your order to:

RAV
21 Buckley Circuit
KAMBAH ACT 2902