Resource Order Form

This form is designed to be completed, printed and posted/faxed with payment.
Phone: 07 3250 0240 for more information.
Post: Family Planning Queensland, PO Box 215, Fortitude Valley, Qld 4006
Fax: 07 3250 0296
ABN 61 009 860 164

Contact Details
Date:
Contact Name and occupation:
Phone:		FAX:
EMAIL:		MOBILE:
If you do not want your details to be included on future FPQ mailouts please email info@fpq.com.au or phone 07 3250 0240.
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Resources Required:		LATEST VERSION	Price	No. Req.
86782876	Bodies and Relationships Education Essentials – Learning Package	2007	$480
FPQ STOCK	Clinical Practice Guidelines	2009	$120
86951391	Contraceptive Choices flip chart	2009	$40
FPQ stock	Contraception: an Australian clinical practice handbook - A4 bound version	2009	$55
FPQ stock	Contraception: an Australian clinical practice handbook - book and CD package	2009	$88
package x 9 items	Early childhood package NEW!	2009	$186
86780467	Every body needs to know – Learning package	2007	$700
87103911	Everyone's got a bottom – Early childhood storybook	2007	$16
86794204	Feel Safe CD (suitable for IBM or Mac)	2002	$70
FPQ STOCK	Female Genital Mutilation (FGM) Conference DVD	2006	$55
FPQ STOCK	Female Genital Mutilation (FGM) Posters A2___ or A3 ___ (insert quantity required of each size)	2006	FREight COSTS only
FPQ STOCK	Female Genital Mutilation (FGM) in clinical practice DVD – a resource for health professionals	2008	$55
86783000 PLUS 86780444	I Have the Right to be Safe flip chart and brochures	2007	$70
86780471	Healthy/Unhealthy Cards	2007	$40
86780470	High Talk – Learning Package	2007	$480
86999858	I Can Posters	2007	$30
FPQ STOCK	Positive & Protective Puberty Workbooks — set of 3books: Lower Primary, Upper Primary and Teachers' workbook. (This is an e-book resource - available by email only. Freight charges do not apply)	2007	$75
FPQ STOCK	Positive & Protective Puberty Workbooks — set of 2 books: Teachers' workbook and either (a) Lower Primary workbook or (b) Upper Primary workbook. Please indicate (a)__ or (b)__ (This is an e-book resource - available by email only. Freight charges do not apply)	2007	$50
86780472	Puberty Plus CD	2000	$70
86780475	Sex Safely DVD	1997	$70
86826727	Sexual Relationships Cards	2007	$40
FPQ STOCK	Sexual and reproductive health & BBV resources CD	2009	$10
86780476	Stages of Pregnancy Posters	1996	$200
FPQ00004	Where do I start? DVD and guide NEW!	2009	$66.50
87142458	Traffic Lights DVD: Responding positively to sexual behaviours: The Traffic Lights model	2007	$25
TOTAL OF THIS ORDER
items:	Number of resources
freight / handling:	$35 and under, postage within Australia is $5. Over $35, postage within Australia is $5 + 5% of order. International freight must be prepaid. Contact FPQ for cost. Please note that your invoice and any Items marked on the order form as FPQ stock will be sent under separate cover.
TOTAL:	Prices include GST

Payment and Delivery details
INVOICE TO
invoice address
delivery ADDRESS	(A street address is required as all orders are delivered by courier.)
cHEQUE	Cheque for $ enclosed
INVOICE	Order No.: (Company Purchase Order must accompany this form)
CREDIT CARD	Visa	Mastercard	Bankcard
	Credit Card No.:		3 digit security no.:
	Name on card:		Expiry date:
	Signature:______________________________________ Please debit: $

Last Updated: 04-Mar-2010 1:55 PM

Resource Order Form

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