CD Order Form

If you are an Australian resident and wish to pay by Cheque or Money Order please fill out this form, print it and send it along with your cheque or Money order to:

Atlantics Music -
Po Box 1088 • Maroubra NSW 2035 • Sydney • Australia
Facsimile: +61 2 9314 1198 • Mobile: 0416 210 744

 Please Note: Cheque payment only available to Australian residents.
 Complete your details below

Surname: 

 

Given Name: 

  Title:

Address: 

 

Suburb: 

  State:

Zip/Postcode: 

  Country:

Telephone: 

  - Please include area code
 CD Order [Please refer to price applicable to your location] Qty

Price

Flight Of The Surf Dogs DVD - $25.00
 $

Point Zero - $25.00
 $

Bombora..... The Next Generation - $15.00
 $

Atlantics..... The Next Generation - $25.00
 $

 The Atlantics - Flight of the Surf Guitar - $25.00
 $

Flight of the Surf Guitar Backing Tracks - $25.00
$

Flight of the Surf Guitar Tab Book - $35.00
 $

Sub-total 

$

Add Shipping/Postage 

$

TOTAL 

$

Payment Details ( Cheques and Money Orders payable to: Atlantics Music)
Please Note: Cheque payment only available to Australian residents.
Payment method:    Cheque • Money Order • Credit Card
Card Type:    Visa • Mastercard • Bankcard
Cardholders Name:    as shown on card
Card Number:   
(eg: xxxx-xxxx-xxxx-xxxx) please check details carefully
Card Expiry:    /
Cardholder' Signature:
credit card orders must be signed