20order%20form

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Publications order form Free publications Annual Reports Cultural Planning CAN WA Annual Report 2007 Spring 2007 bulletin CAN WA Annual Report 2006 Summer 2006/2007 bulletin Catalyst Summer 2006/2007 bulletin Publications for sale Cost P + H Paving Pathways for Youth Inclusion: The Contribution of Community Cultural Development by Simone Ruane Free $5.00 The Art of Peace: A Toolkit of Theatre Art for Conflict Resolution by the Makhampom Foundation $20.00 No cost The Five Dimensions of Community by Sandra Krempl $12.50 (members) $2.00 $25.00 (non- members) $2.00 Name: _____________________________________________________________________ Organisation: _______________________________________________________________ Postal address:______________________________________________________________ ________________________________________________________Postcode: __________ Contact number: ____________________________________________________________ Email address: ______________________________________________________________ Payment total amount: $____________ Payment can be made by cash (at the CAN WA office), cheque (made out to the Community Arts Network of WA Ltd), credit or direct deposit. Credit Card Details Name on Credit Card ______________________________ Card Number _ _ _ _ / _ _ _ _ / _ _ _ _ / _ _ _ _ Expiry Date ______________ Total Amount $__________ Signature ________________________________________ Direct Deposit to : BSB 633-000 Account Name: Community Arts Network Main Account Account No . 13006820 (please put your name in the description) Please return this form with payment to: CAN WA, Kings Street Art Centre 357-365 Murray Street, Perth or post to PO Box 7514, Cloisters Square, WA 6850 Ph. (08) 9226 2422, Fax (08) 9226 2230 Email: [email protected] Website: www.canwa.com.au

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Page 1: 20order%20form

Publications order form Free publications Annual Reports Cultural Planning

CAN WA Annual Report 2007 Spring 2007 bulletin

CAN WA Annual Report 2006 Summer 2006/2007 bulletin

Catalyst

Summer 2006/2007 bulletin

Publications for sa le Cost P + H Paving Pathways for Youth Inclusion: The Contribution of

Community Cultural Development by Simone Ruane Free $5.00

The Art of Peace: A Toolkit of Theatre Art for Conflict

Resolution by the Makhampom Foundation $20.00 No cost

The Five Dimensions of Community by Sandra Krempl $12.50

(members) $2.00

$25.00 (non-members)

$2.00

Name: _____________________________________________________________________

Organisation: _______________________________________________________________

Postal address:______________________________________________________________

________________________________________________________Postcode: __________

Contact number: ____________________________________________________________

Email address: ______________________________________________________________

Payment total amount: $____________

Payment can be made by cash (at the CAN WA office), cheque (made out to the Community Arts Network of WA Ltd), credit or direct deposit.

Credit Card Detai ls Name on Credit Card ______________________________

Card Number _ _ _ _ / _ _ _ _ / _ _ _ _ / _ _ _ _

Expiry Date ______________ Total Amount $__________

Signature ________________________________________

Direct Deposit to: BSB 633-000 Account Name: Community Arts Network Main Account Account No. 13006820 (please put your name in the description)

Please return this form with payment to: CAN WA, Kings Street Art Centre 357-365 Murray Street, Perth or post to PO Box 7514, Cloisters Square, WA 6850 Ph. (08) 9226 2422, Fax (08) 9226 2230 Email: [email protected] Website: www.canwa.com.au