I am over the age of 18 years (sign) ......................................................
Name: ..............................................................
Desired Usrid (6-8 characters) ...................Desired Password (6-8 characters) ...................
Choose a Usrid that you do not think anyone else would use. You can have the same Usrid/Password all of your purchases.
Your email address ...........................................................................................................
PRINT REALLY, REALLY CLEARLY
You will be notified by email when your membership is set up.
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30 days Membership of Adult Baby Source (Tick) ...... US $24.95 (Tick) ...... EUR 20.00 (Tick) ...... GBP 17.00 (Tick) ...... AU $40.00 |
30 days Membership of Xtreme diaper (Tick) ...... US $29.95 (Tick) ...... EUR 24.00 (Tick) ...... GBP 20.00 (Tick) ...... AU $47.00 |
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90 days to download Family Album Jan to June 2004 (Tick) ...... US $60.00 (Tick) ...... EUR 48.00 (Tick) ...... GBP 40.00 (Tick) ...... AU $95.00 |
90 days to download Family Album July to Dec 2004 (Tick) ...... US $60.00 (Tick) ...... EUR 48.00 (Tick) ...... GBP 40.00 (Tick) ...... AU $95.00 |
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90 days to download Family Album Jan to June 2005 (Tick) ...... US $60.00 (Tick) ...... EUR 48.00 (Tick) ...... GBP 40.00 (Tick) ...... AU $95.00 |
90 days to download Family Album July to Dec 2005 (Tick) ...... US $60.00 (Tick) ...... EUR 48.00 (Tick) ...... GBP 40.00 (Tick) ...... AU $95.00 |
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90 days to download Family Album Jan to June 2006 (Tick) ...... US $60.00 (Tick) ...... EUR 48.00 (Tick) ...... GBP 40.00 (Tick) ...... AU $95.00 |
Total $............ Enclosed
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If you send cash more than that required for 30 days membership we will extend your membership additional days pro rata. IMPORTANT - Accepted: Cash, Bank Cheques, Cashier's Checks, Money Order, Australia Post Postal Orders Make in favour of: "GND"
Personal Checks and Postal Orders from countries other than Australia NOT accepted |
Print out this form and mail to:
GND, |