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:
*
Postal Address:
*
Surname:
*
City:
*
Contact Phone Number:
*
State:
*
Email Address:
Postcode:
*

BOOK ORDER

TITLE UNIT COST Order Number $ inc GST

Sandplay and Symbol Work
$33
$
Emotional Release For Children
$33
$
Emotional Healing & Self-Esteem
$33
$
The Healing Journey
$22
$
Postage + handling (up to 3kg)
$10
$

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

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

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