Nativity House Fax Order Form

Nativity House Publishing
FAX Order Form

An ideal gift for family and friends. Simply print this form, complete and fax to the relevant fax number (displayed on the bottom of the page) to order your copy of Elisabeth Van Mullekom's Christmas Nativities and Stories Book.

Your Details:

Christian name(s): ______________________________________

Surname: ______________________________________

Address: ______________________________________

Suburb: ______________________________________

State: ____________________ Postcode: _________

Country: ______________________________________

Phone: ______________________________________

Fax: ______________________________________

Your Email address: ______________________________________

Payment Details:

Name on Card: _____________________________________

Credit card type: _____________________________________

Credit Card Number: _____________________________________

Card Expiry Date: _____________________________________

Signature: _____________________________________

I would like to order ...... copy / copies of
Christmas Nativities and Stories Book.

All orders to be faxed or emailed to:
Nativity House Christmas Museum Gallery 136-146 Garfield Road Horsley Park NSW 2164 Australia Phone: 61-2-9620-1218 Fax: 61-2-9620-1609 Email: australia@nativityhouse.com.au
Orders will be forwarded to the required person.