First Physical Theatre Company Merchandise Oder Form

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Rhodes 老虎机游戏_pt老虎机-平台*官网 Department of Drama
PO Box 94 Grahamstown 6140
Telephone (046)603 8971

Facsimile (046)603 8970
Email: First.Physical@ru.ac.za

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Name__________________________________________________________________________________

Address________________________________________________________________________________

City___________________________________________________________________Code____________

Email__________________________________________________________________________________

Phone_________________________________________________Fax______________________________

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Quantity: Description: Unit Price: Total:

The Art of Physical Intelligence

Volume 1: Experiments in Physical Theatre |R 175.00 |

Volume 2: Instructions in Physical Theatre |R 175.00 |

Volume 3: Enquiries into Physical Theatre |R 175.00 |

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Physical Intelligence on CD-ROM

The Art of Physical Intelligence Part 1 |R 250.00 |

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Physical Intelligence on Video/DVD

lake...beneath the surface |R 150.00 |

Out of this Moon |R 150.00 |

Bessie's Head (Educational Package) |R 120.00 |

Red Crushed Velvet (Educational Package) |R 120.00 |

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Physical Intelligence on CD

Francois' Dancepieces |R 100.00 |

dance cycle |R 100.00 |

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Subtotal: |R

** + Post & Packaging: |R 65.00 (small) or |R120.00 (large)

Total: |R____

** Please note that the courier fee depends on the size of the order & will be supplied when the invoice is drawn up. Please return the completed form before payment so that we can send the correct invoice for your order.

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----------------Payment Details----------------------------------------------------------------------

[ ] Cash

[ ] Cheque/Postal Order (payable to 'Rhodes 老虎机游戏_pt老虎机-平台*官网')

[ ] Direct Deposit/Electronic Transfer (Bank details below)

[ ] Credit Card - Mastercard

[ ] Credit Card - Visa

Credit Card Name:

Credit Card No:

Exp Date:

Signature:___________________________

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Please mail credit card/cheque/postal order payments to Drama Dept., P.O. Box 94, Grahamstown, 6140

Banking Details:
Bank: First National Bank
Account Name: Rhodes 老虎机游戏_pt老虎机-平台*官网
Account: 62145503076
Branch: Grahamstown
Code: 210717

NB Please quote reference 19460 FPTC on deposit slip

Last Modified: Fri, 15 Jul 2011 15:02:26 SAST