The Information Centre
Publication Request
PUBLICATION |
QUANTITY |
COST |
TOTAL |
$ |
Delivery Details
Name: ____________________________________
Organisation: ______________________________
Address: __________________________________
_________________________________________
Payment method
[ ] Cheque [ ] Money Order
[ ] Visa [ ] Master Card
[ ] Bank Card
Card number: ______________________________
Expiry date: _______________________________
Signature: ________________________________
To place an order for items in our Publications catalogue
Please print out this form, fill in the details, and either:
Mail to:
Information Centre
Department of Planning
GPO Box 39
Sydney NSW 2001 or
Fax to: (02) 9228 6555 (credit card only)
Information Centre Ph: (02) 9228 6333
ABN: 38 755 709 681
