Ph: 0409 652 191
Reading length:
[ ] 30 minutes
[ ] 60 minutes
Format:
[ ] Cassette tape
[ ] CD
Your age:
Your Questions (in order of importance)
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Information required for mailing you the Cassette or
CD:
Current Name:____________________________
Address:_________________________________ Post Code: _______
Phone Number:__________________________
Payment method:
[ ] Cheque/Money Order (Payable to Dr Peter Filis) (Print this page and mail to:
Dr Peter Filis
Northwood St, NEWTOWN NSW 2042
Mob: 0409 652 191
Credit Card Payments
[ ] Visa [ ] MasterCard [ ] Bankcard
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Credit Card Number:__________________________
Card Expiry:___________________________
Signature: __________________________