JOHN RIGBY: ART AND LIFE

BOOK ORDER FORM

Australian Orders only

COMPLIMENTARY
REGISTERED DOMESTIC POSTAGE

Name: _______________________________________________________________

Postal Address: ________________________________________________________

__________________________________________________ Postcode: __________

Email address: _________________________________________________________

No. of books _____ @ A$99.00 each with free registered postage =  $__________

TOTAL COST: $___________________

Payment Details

I enclose □ Cheque or □ Money Order payable to: JOHN RIGBY – RIGBY ART

OR please debit my:

□ Bankcard   □ Visa    □ MasterCard for $____________

Credit Card No. ____________________________________ Expiry Date ___/___

Cardholder’s Name ________________________ Signature ____________________

Post to: John Rigby - Rigby Art, PO Box 419, Kenmore, Qld  4069

_________________________________________________________

ABN: 34 610 739 443