my WORD the MESSAGE - Catholic Music CD Order Form

my WORD the MESSAGE SecureFax Order Form
PRINT THIS FORM - FILL IN ALL THE DETAILS and FAX TO: 00 61 8 9382 4080
SENDING PAYMENT BY FAX KEEPS YOUR
CREDIT CARD DETAILS SECURE.

ORDERS TAKEN BY
SECUREFAX

No Fax? Try Western Union

ABN 92 130 821 513
flame ministries international
Head Office: Suite 6, 186 Hay Street Subiaco 6008
Western Australia.
Postal Address: PO BOX 8133 Subiaco East 6008 Western Australia. Phone: 00 61 8 9382 3668.
Fax: 00 61 8 9382 4080. E-mail: fmi@flameministries.org.

my WORD the MESSAGE

CD ORDER FORM
This CD contains Bonus Video Footage and Sheet Music for all the songs on the Album viewable on Macintosh or Windows Formats. Simply place the CD in the CD Rom Drive, view the Contents and Double Click the "GO_FMM.HTM" Icon.

E-Mail - CD Orders
No Credit Cards via E-Mail.
Please use the FAX Order form below for your own security.

Name and Address for Shipping & Confidential Records - PLEASE PRINT CLEARLY with Black Ink.

Name:...............................................................................................	Your Phone >	..................................................................
Address:..........................................................................................	Your Fax >	..................................................................
..............................................................................................................	Your Mobile >	..................................................................
..............................................................................................................	Your E-Mail >	..................................................................
Country:...........................................................................................	Post/Zip Code >	..................................................................

NOTE: If shipping is to a PO BOX, please include a Home Address for Credit Card Purposes.

Home Address:....................................................................................................................................................................................

Please supply the under mentioned CD quantities
and charge me at the stipulated Australian Price herewith plus Postage and Handling.
Click here to calculate your payment at today's current exchange rates. YAHOO CURRENCY EXCHANGE

Fill in the correct box below and add the P&H in the Subtotal (A) box [see right] then fill in the Grand Total - Very simple.

Quantity	Price Each	Amount
1 x CD	$29.95 AUD =	$
No of............ CD's	X $29.95 AUD =	$
Add P&H	See Subtotal (A)	$
.	Grand Total	$

Subtotal (A) Calculate P&H (Postage & Handling)

1 x CD @ $29.95

+ ADD $5.00 P&H *

Up to 3 x CD's @ $89.85

+ ADD $7.00 P&H *

Up to 6 x CD's @ $179.70

+ ADD $10.00 P&H *

Up to 10 x CD's @ $299.50

+ ADD $12.00 P&H *

Over 10 CD's @ $

+ By arrangement.

Please Charge My Credit Card (Tick Box) > /...../ BankCard - /...../ Visa - /...../ MasterCard

Credit Card No: /...../...../...../...../ - /...../...../...../...../ - /...../...../...../...../ - /...../...../...../...../

Expiry Date: ......../......../........ Name on card....................................................................

Signature:................................................... / Print and Fax this form to: + 61 08 9382 4080

INTERNAL USE ONLY:
Date of Purchase......................Receipt No..............Order Taken By..................................Date Posted..........................

flame ministries international Head Office:Suite 6, 186 Hay Street Subiaco 6008 Western Australia.
Postal Address: PO BOX 8133 Subiaco East 6008 Western Australia.
Phone: 00 61 8 9382 3668. Fax: 00 61 8 9382 4080. E-mail: fmi@flameministries.org