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Curriculum Corporation
P.O. Box 177
Carlton South 3053
AustraliaABN 18 007 342 421
Aust Fax: 1300 780 545
Int'l Fax: +61 3 9910 9800Aust Tel: 03 9207 9600
Free Call: 1800 337 405
...outside Melbourne Metro
Int'l Tel: +61 3 9207 9600
.... x Maths300 Membership @ $AUD495 each = ..................If ordering multiple memberships please add a list with details for each campus.OR
.... x Small School Maths300 Membership @ $AUD123.75 each = ..................
Please note that each subscription is a standing order.
| Name: | ............................................................................................................................................. |
| School: | ............................................................................................................................................. |
| Address: | .............................................................................................................................................
............................................................................................................................................. ............................................................................................................................................. |
| Email: | ............................................................................................................................................. Add to Maths300 eNews database? ... Yes or No ... Please circle one. |
| Phone: | ...................................... Fax: ...................................... School Order No: ...................................... |
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| Name: | ............................................................................................................................................. |
| Card No: | __ __ __ __ / __ __ __ __ / __ __ __ __ /__ __ __ __ |
| Expires: | __ __ / __ __ |
| Signature: | ............................................................................................................................................. |
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