Direct Deposit Order

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)
Special offer - entire catalogue of 7 disks [AUD$100 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
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* Date of deposit

* Full name
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* Email address
* Daytime contact number
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SITE LAST UPDATED :: 22-05-2007
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