| Order for Chronic Fatigue Syndrome / ME Turning Disability Toward Ability |
| Please debit my VISA / Mastercard / Bankcard |
| for the amount
of: AUD$59.95 ($49.95 plus $10.00 Shipping & handling) |
| First and Last Name:_____________________________________ |
| Phone Number:_________________________________________ |
| Address:_______________________________________________ |
| Card Number:___________________________________________ |
| Card Exp:______________________________________________ |
|
Please fax this page to: CFS DISCOVERY
PTY LTD |