DVD ORDER FORM

This form can be used to order the DVDs Kiap: Stories behind the medal and Walk into Paradise.

This form can be sent electronically through secure encryption by clicking the button at the bottom of this page.  Alternatively you may PRINT OUT this FORM and POST the completed Form to:

PNGAA, PO Box 453, ROSEVILLE NSW. 2069
This Form may be Printed and Posted or sent by secure encryption (similar to online Banking)
 

Your Contact Details (* compulsory fields): .

 
Full Name

*

        

Membership Number
Email *
Postal Address *
City *  
State *
Area Code *
Country *
Phone *
   

Your Order Details :Price includes Postage and Packaging
Kiap: Stories behind the medal copies @ $35 each (non members)
Kiap: Stories behind the medal copies @ $30 each (PNGAA Members)
Walk into Paradise copies @ $30 each (non members)
Walk into Paradise copies @ $25 each (PNGAA Members)

Payments : Please select payment type
*  Calculated Total Amount
Cheque/Bank Draft/Postal Order - Payments made out to PNGAA
PNGAA, PO Box 453, ROSEVILLE NSW 2069
Electronic (Internet) Transfer. You must use Internet Banking to transfer payment to PNGAA: BSB 062009; A/C No. 00907724 (CBA, Wynyard)
Credit Card - Credit Card details are removed after the transaction is completed.

Your Credit Card Details :
Full Name on Card
Credit Card Type
Card Number
Expiry Date

Confirmation will be made on receipt of your details

Click Here to Print and Post to the address above