Please send me ___ copies of ‘Woman to Woman’ at $23.00 per copy including postage and handling within Australia.
I enclose herewith my payment:

Please tick payment option below:
__Visa    __Mastercard   __Bankcard   __Cheque(pay to Kim Balson)   __Other

Card Number:_________________________   Expiry Date:_________

Name as on card:__________________________________________

Signature:___________________   Date:________   Amount:________

Your Name_______________________________________________

Your Address:_____________________________________________

Please mail to: Kim Balson, PO BOX 3048 Tarragindi QLD 4121 - Allow 14 days for delivery.