EDUCATOR DISCS AND VIDEOS
John and Rosalind Stinchcombe Associates Ltd.,
c/- Waitakere Postal Delivery Centre,
Waitakere 0614, Auckland, New Zealand.
ORDER FORM
(Please write in BLOCK CAPITALS!)



NAME:__________________________________ TITLE (Mr/Mrs/Miss)_____________

FULL POSTAL ADDRESS:____________________________________________________
________________________________________________________________________
E-Mail:________________________________TELEPHONE NUMBER:________________
 

PRODUCT TITLE                 PRODUCT TYPE    PRICES
                              (Computer CD,
                              Audio CD, or    (Indicate
                              Audio Tape)     Currency)


---------------------------   -------------   --------------
---------------------------   -------------   --------------
---------------------------   -------------   --------------
---------------------------   -------------   --------------
---------------------------   -------------   --------------
                                              ______________
                                  Subtotal:   
               Less Discount if Applicable:   ______________
 
                                     TOTAL:   ______________


AMOUNT OF CHEQUE OR INTERNATIONAL BANK DRAFT
ENCLOSED IS: _________________ (Please Indicate Amount & Currency.)
DATE:_____________________ SIGNATURE: ____________________________

For prompt service, complete the order form and mail alongside a New Zealand cheque
or an International Bank Draft in an envelope addressed as shown below.

Dr. Rosalind M. Stinchcombe, General Manager,
Educator Discs and Videos,
John and Rosalind Stinchcombe Associates Ltd.,
c/- Waitakere Postal Delivery Centre,
Waitakere 0614,
Auckland,
NEW ZEALAND.

Cheques and Bank Drafts should be made payable to "Educator Discs and Videos".
If you live outside New Zealand, be sure to send the order form by airmail.
All goods ordered will be mailed back to you very promptly
after receipt of your order and the relevant remittance.
If you live outside New Zealand, the goods ordered will be posted to you by airmail.