C-change: the report of the enquiry into hepatitis C related discrimination is $5 per copy plus postage and handling plus GST. Postage and handling charges: 1-4 copies - $5 5+ copies - $10

Please note, you cannot order C-change: the report of the enquiry into hepatitis C related discrimination on line .

1. Print a copy of this order form. Fill in the relevant sections, using a black or blue pen, and using UPPERCASE letters.

C-change: the report of the enquiry into hepatitis C related discrimination (c-change). Number of copies:
Postage and handling
Subtotal
+10% GST
Total

Customer Number: ADB_______________________
Title (eg Mr/Ms/Mrs/Miss/Dr etc)	First Name	Last Name
Position
Employer
Postal address		Postcode
Phone	Fax	Email

I am paying by:
cheque:	purchase order:	money order:
Mastercard:	Visa:
Card no:
Expires:	Signature:
Name as appears on credit card:

2. Fax a copy to us on (02) 9268 5500 or mail a copy to us at:

Anti-Discrimination Board of NSW,
PO Box A2122,
Sydney South NSW 1235

3. Keep a copy for yourself.

Please contact Milly Stylli on (02) 9268 5555 or 1800 670 812 if you have any queries.