Order the Book

Up

The book 'Black Swans and Other Stories is due
for release in February/March 2000

Circle Credit Card Type

Master Card Visa Card American Express

Credit Card Information
Card #____________________ Expiry date___/___/___

Name on card: _____________________
Signature:�������� _____________________
Date: ���������������� _____________________

Name and address of card holder:
________________________________________________
________________________________________________
________________________________________________

Name and address for delivery of order:
________________________________________________
________________________________________________
________________________________________________

Send your order to one of these locations:
Post:
GSU Govinnage
P O Box 8046
Perth WA 6849
AUSTRALIA
Email:
Email all the details requested above to this address
Fax:
Print and fax this order form to:
+61 08 9386 3381

International postage add US$5.00 per book. Australian postage add A$2.50 per book.
Credit card transactions will appear as "GSU Govinnage" on your bank statement.

Site Design � Sunili Govinnage 1998