Gympie Family History Society Inc.

Order Form

Name: __________________________________________________________

Street Address (for delivery): ______________________________________

Suburb:__________________________ City:________________________

State:__________________ Country: ______________Post Code__________

Phone: ___________________________ Fax: _________________________

E-mail: _______________________Website: __________________________

Details of Request for Goods or Information:

(send as separate page if necessary)

_________________________________________________________________

I enclose a cheque for the amount of $________ for full payment of above books in Australian Dollars made out to:
Gympie Family History Society Inc.
P.O. BOX 767
Gympie Qld. 4570 Australia

OR

Bank Deposit: (Please include your Full Name as a reference)
Wide Bay Australia Ltd
BSB: 656400
A/C No. 101763948
A/C Name: Gympie Family History Society Inc.

This site was last updated 04/05/08 Webmaster