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Oriens Foundation
GPO Box 2021
CANBERRA ACT 2601
AUSTRALIA
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Subscription to Oriens
I wish to subscribe to Oriens for: [ ] 1 year ...................................................................................................................................$(Aus)30.00 [ ] 2 years ................................................................................................................................ $(Aus)55.00 [ ] 3 years .................................................................................................................................$(Aus)80.00 and [ ] I would like to make a donation of $(Aus) _________________ ($A20.00 minimum) TOTAL: ....................................................................................................................................._________
[ ] Subscription – including postage – for residents of USA, Canada, UK, and Europe: [ ]1 year ........................................................................................................$(US)40.00 (or equivalent) [ ] 2 years ........................................................................................... .........$(US)65.00 (or equivalent) [ ] 3 years .. ..................................................................................................$(US)90.00 (or equivalent) and [ ] I would like to make a donation of $(US) _________________ ($US20.00 minimum or equivalent) TOTAL: ....................................................................................................................................._________
Name:............................................................................................... Address:............................................................................................ .............................................................................................................. .............................................................................................................. Telephone:........................................................................................ Facsimile:........................................................................................... Email:...................................................................................................
Please return with your cheque or money order to Oriens Foundation, GPO Box 2021, CANBERRA ACT 2601 AUSTRALIA
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