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Lorelle Mercer

PO Box 387 Terrey Hills NSW 2084

Call Monday-Friday 9-5 Ph: 0402 167 976

Orders placed now will not be processed until after January 20th 2009.

Name
Address 1
Address 2
State Postcode
Email
Phone 1 Phone 2
Photographs taken at
Payment method
Direct Deposit into Lorelle Mercer's St George Account no. 156 218 022 BSB: 112-879 using Surname as reference
Cheque made out to Lorelle Mercer Money Order made out to Lorelle Mercer - PO Box 387 Terrey Hills NSW 2084
Proof number Qty Select Size SubTotal $
Proof number Qty Select Size SubTotal $
Proof number Qty Select Size SubTotal $
Proof number Qty Select Size SubTotal $
Proof number Qty Select Size SubTotal $
Proof number Qty Select Size SubTotal $
Proof number Qty Select Size SubTotal $
Proof number Qty Select Size SubTotal $

Postage/handling/packaging for print orders $7.00

$Grand Total$

If paying by Cheque or Money Order please fill in this form, print then mail to the address at top with your payment, thank you.

Direct Deposit Orders - PRINT the Order Form & Submit, Banking details appear above - please send me an email to confirm your deposit.

Office Closed Dec-Jan

I will not be working at my desk, taking calls nor answering emails from:-December 1st through until January 20th 2009. Orders placed now will not be processed until after January 20th 2009.