TOP HAT & TAILS

All prices Australian dollars, inclusive of GST, postage and handling.
Indicate the number of copies you wish to order below:

Top Hat & Tails CDs ____ copies at AUS$28.95ea AUS$ ________________

Top Hat & Tails Cassette ____ copies at AUS$19.95ea AUS$ ________________

Total amount due: AUS$ _______________

Payment Option: __Cheque __Bankcard __Mastercard __Visa

Card No. ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___

Card Expiry Date: _____________

Name on card: _____________________________

(for more credit card security you may wish to send the
card number split into two separate email messages)

MAIL - print this page, fill in the details then send this order form
together with your cheque, money order or card information to:

Quality Performers Management
PO Box 337
Tynte Street
North Adelaide 5006
South Australia

Be sure to include your Return Address:

NAME: ________________________________________________________

ADDRESS: _____________________________________________________

POSTCODE: __________ TELEPHONE: ____________________________