Portiuncula Centre - BOOK ORDER FORM

Please fill in this form online and hit the "PRINT" button at the bottom.

PERSONAL INFORMATION

Organisation Order Number
Title: First Name: *
Surname: * Postal Address:*
City:* State:* Postcode:*
Contact Phone Number: * Email Address:

BOOK ORDER

TITLE UNIT COST Order Number $ inc GST

Sandplay and Symbol Work
$40
$
Emotional Release For Children
$40
$
Emotional Healing and Self-Esteem
$40
$
The Healing Journey
$22
$
Postage + handling (up to 3kg)
$12
$

*All prices quoted AUD$ - inclusive of GST  
GST Component
$
TOTAL ORDER inc GST
$

Payment Method: Cheque Money Order Direct deposit
Please make cheques or money orders payable to:
“Missionary Sisters of Service”

Or direct deposit into CBA bank
Missionary Sisters of Service Personal Development Account, Forest Hill Centre, Victoria
BSB 063 225 Account No 00625988
(Please include the participant's name & advise us by email)

Mail this form with either your Cheque or Money Order to:
The Portiuncula, 173 Glenvale Road, Toowoomba, QLD 4350
Enquiries – phone (07) 4633 1383; 0422 462 678