EQ Australia
Subscription form

NOTE. Your subscription begins when we receive your payment. Please attach a cheque or complete the credit card details below. Cheques may be made payable to Curriculum Corporation and forwarded together with the completed EQ subscription form to:

EQ AUSTRALIA Curriculum Corporation PO Box 177 CARLTON SOUTH Victoria 3053 AUSTRALIA

Telephone: Fax: Email:

+ 61 3 9207 9600 +61 3 9639 1616 sales@curriculum.edu.au

Name:	_______________________________	Position:	_______________________________
School:	___________________________________________________________________________
Address:	___________________________________________________________________________
	_______________________________	Postcode:	_______________________________
Country:	___________________________________________________________________________
Telephone:	(____)___________________________	Fax:	(____)___________________________

School order number:

_____________________________________________

School order    Personal order    Other order

Signature of person authorised to sign on behalf of school ___________________________________

I enclose my cheque for $ ____________ or charge my   Bankcard   Visa   Mastercard   AMEX

Cardholder name:_________________________________________________

Card number: __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __  Expiry date: __ __ / __ __

Subscription rates to EQ Australia

Level of subscription		Price	Total
	One year individual subscription (One copy per quarter)	$30.80 per year	__________
	One year institutional subscription (Four copies per quarter)	$74.80 per year	__________
	One year bulk subscription (Ten copies per quarter)	$162.80 per year	__________
		* Subscription rates are GST inclusive

Delivery charges
Australian subscription:		Free of charge
International subscriptions	Airmail	Sea Mail
Individual subscription:	$A20.00	$A10.00	__________
Institutional subscription:	$A26.00	$A15.00	__________	Total amount:			__________

Overseas subscriptions
Payment in Australian dollars or credit card authorisation is required with order. Add mail costs as indicated above. Bulk subscriptions are not available to overseas customers.