Prophecy Arts mail-order Form

Print out this form, fill in your order and translate total into Australian Dollars using the currency converter and mail with your check or money order (in Australian Dollars & made payable to Cassandra Edwards) to:
Cassandra Edwards
c/o 91/41 Station St, Subiaco W.A. 6008
AUSTRALIA
Item #
Description
Price
Quantity
Total $
      x ____ = ______
      x ____ = ______
      x ____ = ______
      x ____ = ______
      x ____ = ______
      x ____ = ______
      x ____ = ______
      x ____ = ______
      x ____ = ______
Sub Total: ______
add Shipping: (not required if shipping within Australia)
 ______
add Insurance: (if desired)
______
Grand Total in US Dollars: $  ______
Grand Total converted into Australian Dollars: $  ______

Ship to:
 
Name: _____________________________________________

Street Address: _____________________________________________

City/State/Zip: _____________________________________________

Country: _____________________________________________

Email: _____________________________________________