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	=		   Magic Circle Bookshop		       =
	=	Phone: (08) 9310 2604 - Fax: (08) 9310 2615	       =
	=	      PO Box 205, Bullcreek, WA 6149		       =
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	        Please print then write your current details and
                          Post or Fax to the Bookshop.
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	Name: __________________________________________________________
	
	Send Printed Catalogue: [ ]      Update Credit Card Details: [ ]
	
	
	Postal Address: ________________________________________________
	
	City: ______________________  State: _______ Post Code: ________
	
	
	Phone: (___) _______________  Fax/Mobile: (___) ________________
	
	Email: _________________________________________________________
	
	
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	  Creditcard [ ],  Bankcard [ ],  Mastercard [ ],  Visa [ ].
	
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	Expiry: _ _ / _ _ _ _
	
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	=  Please DON'T send credit card details via E-mail.           =
	=  Please send credit card details only via phone or fax.      =
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