[ABN 62-093-1999-529] |
PO Box 244, THE JUNCTION
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| Connecting professionals with new and current technologies |
NSW AUSTRALIA 2291
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T:+61-2-4963-1226 F:+61-2-49631228
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Application for Annual Subscription to www.FertAid.com - Please Print, complete and post. |
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* Signature implies "Please Read' page has been read and the conditions of subscription accepted. # contact email for password.
| Scheme : Payment Details | Annual Cost: $USD/Euro/AUD |
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Annual Fee
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Annual Fee + Banner Advertising
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International [Please supply list of agencies] |
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Banner Advertising only [ Months: ______]
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Free Listing
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Payments by Cheque [Made Payable to "FertAid"] Send to : PO Box 244 The Junction Newcastle NSW 2291 Australia
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Payments by Direct Bank Transfer. Commonwealth Bank of Australia Acc No: 062-821-1009-4608 Acc Name: FertAid [ProfShop] Transferring Bank: Authorization Date: |
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Payments by Credit Card |
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Please post to FertAid Subscriptions |
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# You will be contacted on this e-mail with your logon name and password to allow you access to your page when payment received.