Fill in all the details and then send or fax to:
New Zealand Calendar Company, RD2, Akaroa 8161, New Zealand
Fax: (International) 0064 3 304 5678 Fax: (NZ) 03 304 5678
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First name:_____________________________________ Surname:_____________________________
Postal Address:_______________________________________________________________________
Delivery Address:_____________________________________________________________________
City:__________________________________________State:_________________________________
Postal Code:____________________________Country:______________________________________
Phone:__________________________________Fax:________________________________________
Email Address:_______________________________________________________________________
Credit Card:
VISA
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Date:________________________
Credit Card Number:___________________________________________________
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