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ORDER FORM for DIY-SAMPLING LEAD TEST KITS - pdf
version of this file Prices quoted are for Australia only and include sampling instructions and equipment, GST, postage to you, handling, lab analysis and interpretation. Please use our contact form [www.lead.org.au/contact.htm] to request our bank account details so you can send your EFT payment receipt to accompany this print order form, or if you are from another country & want to ask about buying a kit. No.
of kits required ______ Comprehensive (8 sample) DIY-sampling Lead Test Kit
$250 Please
find enclosed my payment (cheque / money order / EFT transfer receipt,
etc)
OR, please charge the total amount of $____________ to my: Visa Card £ Master Card £ (tick one) Cardholder’s Signature: __________________________________________________ Name on Card:______________________________________ CARD NO. ££££££££££££££££ Expiry date: _____ / _____ 3-digit Security Code: £££ Name &/or Organisation and Postal Address: _________________________________________________________ _________________________________________________________ _________________________________________________________ ________________________State: ____________ Postcode:_______ Email: ____________________________________________________ Ph / Mobile: ________________________________________________ - pdf version of this file The LEAD Group [ABN 25 819 463 114] Inc is endorsed as an Income Tax Exempt Charitable entity under subdivision 50-B of the Income Tax Assessment Act 1997. The Lead Education and Abatement Fund (L.E.A.F) is a public fund listed on the Register of Environmental Organisations under Item 6.1.1 of subsection 30-55(1) of the Income Tax Assessment Act 1997 and is endorsed as a Deductible Gift Recipient under subdivision 30-BA of the Income Tax Assessment Act 1997. |
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Last Updated 27 January 2010
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