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ORDER FORM (Australian print versions only)

Email the completed form to: ozenergycrisis@gmail.com

Or post the completed form to: Alan Lawrenson, 305/2 Peninsula Drive, Breakfast Point,  NSW 2137 Australia.   Or phone or text your order to me at: 0414 483 373

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Order "Australia's Looming Energy Crisis" directly from the author at a special price of $40.00 including postage.  

 

No.of Books:.......... Amount: $...................

 

Payment: By Direct Credit to A.G. Lawrenson:  ANZ BSB: 012 290  Account:  4776-39143

(You MUST include your Surname and Initial on your payment advice).

By Cash:          Cheque:          Credit Card:( Visa or Mastercard only);  <<<<<<  Circle appropriate payment method.

 

First Name:…………………………Surname:…………………………………………..……. Phone:…………………………

 

Address: ………………………………………………………………………………………………………………………………

 

Name on Credit Card:……………………………………………………… Signature:…………………………………………..

 

Credit Card No.: ....................  ....................  ......................  ..................... Expiry:….…./….….. Security Code:………….

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