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ORDER CONFIRMATION FORM

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I CONFIRM I'VE MADE PAYMENT INTO THE FOLLOWING ACCOUNT:
  * Kevin & Melissa Borich [Westpac Bank BSB: 032 050 ACC NO:117633]

 
MY ORDER IS: (Please type quantity required)
Borich x Borich + Brus - DVD [AUD$36]
Borich x Borich + Brus - Audio Double CD [AUD$36]

Borich x Borich + Brus - DVD & Audio Double CD [AUD$49]
Special offer - entire catalogue of 7 disks [AUD$110 ea]
Nomad CD [AUD$30 ea]
Heartstarter CD [AUD$30 ea]
Kevin Borich Collection CD [AUD$27.50 ea]
Live at the Big Kahuna CD Vol 1 & 2 [AUD$38.50 ea]
One Night Jam CD [AUD$30 ea]
Anthem CD [AUD$22 ea]
Autographed laminated poster [AUD$22 ea]
www.kevinborich.com.au T-shirt - White  [AUD$36 ea]
          Medium Large Extra Large
www.kevinborich.com.au T-shirt -  Black  [AUD$36 ea]
          Medium Large Extra Large
Kevin Borich T-shirt - Black only
          Medium Large Extra Large
  Live at the Big Kahuna DVD
  * Amount transferred/deposited
  * Deposit comment / reference
* Date of deposit
 
  * Full name
* Delivery address
* Email address
* Daytime contact number
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