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Publication Order Form

Please send this form to:

New Zealand Psychological Society
PO Box 4092
Wellington
New Zealand

Fax: +64 4 473 4889


I wish to order __________ copies of

"Professional Practice of Psychology in Aotearoa New Zealand"

Price (tick):   O  NZPsS member $72.00       O  Non-member $90.00

NOTE: only one copy per NZPsS member may be purchased at the member price

Total Payment $ _______

Payment is by:

Cheque

Visa

MasterCard

O

O

O

Cardnumber:

_ /_ /_ /_ /  _ /_ /_ /_ /  _ /_ /_ /_ /  _ /_ /_ /_ /

Expiry:

___ / ___

Card Name:

_____________________________________

Signature:

_____________________________________

Contact details - Email:________________________ Phone ___________

Delivery Address: (please include Postcode for correct and faster delivery)

__________________________________________________________

______________________________________________________

________________________________Postcode______________


This page last updated 29/08/2007