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Cancer Information & Support Society

The Secretary
Cancer Information & Support Society
6/56 Chandos Street
St Leonards NSW 2065
Phone: (02) 9906 2189
Fax: 9906 2189
Internet Homepage: www.ciss.org.au
 

"CANCER AND HOPE"

A seminar where ten cancer survivors, some told they were terminal, tell us their stories and prove that cancer doesn't have to be a death sentence.

ORDER FORM

DVD ‘Cancer & Hope” — $28.50

Plus postage and handling— $5. 00

DATE: ………………………...

NAME: ……………………………………………….. 

ADDRESS: ………………………………………………

STATE: …………………... POSTCODE: ……………….

Please post me …….. Copies @ $28.50 ……….

Postage & handling $5.00

Total _____

Enclosed is cheque for $.........

 

Please make cheques/money orders payable to Cancer Information & Support Society

or

Please use following credit/debit card Mastercard

Visa

Other …………… …..(Please state)

Card No: _ _._._ _ _ _ _ _ _ _ _ _ _ _ _ Expiry date _ _ / _ _

 

NAME ON CARD …………………………………………..

 

You may like to visit the web site of the Cancer Information & Support Society who staged this seminar in May 2007: www.ciss.org.au