Col.Sec. in-letters re Mental/Benevolent Asylum patients and others (PRINT this order form; send it by POST)

  Print SURNAME, Given Name, Index Code exactly as shown in the index. If the same name is listed more than once, write each entry on a separate line.
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Total = ............. entries

* If you live in Australia: one entry $18, extra entries $10 each.

* If you live overseas: one entry AUD$25, extra entries AUD$10 each.

$See the list of payment methods available.

PRINT this page, ENTER details below, and POST the page with payment or bank/PayPal receipt.

I have read the information about the sources from which this index was compiled. Payment enclosed:  (amount) .................. in the form of (circle the one that applies)  PayPal receipt, or bank receipt, or Australian dollars cheque, money order or cash, or pounds sterling cheque or cash.

(PRINT clearly) Name:

Postal address:

Email:

Alternative email:

Post with payment (or payment details) to Judy Webster, PO Box 5043, Algester Qld 4115, Australia