Name:
Club:
Postal Address:
Town:
State:
Post:
Phone:
Instructions:


Brochures DL Size (in packs of 100).
Please enter quantity of packs you require.

 
Diabetic
Retinopathy
(qty)
Glaucoma
(qty)
AMD
(qty)
Low Vision
(qty)
Save your Sight
(qty)


A4 one page flyers
Please enter quantity of individual flyers you require.

 
Diabetic
Retinopathy
(qty)
Glaucoma
(qty)
AMD
(qty)
Low Vision
(qty)


A3 Posters
Please enter quantity of individual posters you require.

 
Diabetic
Retinopathy
(qty)
Glaucoma
(qty)
AMD
(qty)
Low Vision
(qty)


DVD Presentations (3 presentations on 1 DVD)
Please enter quantity of DVDs you require.

 
English Speaking DVD
(qty)
Multi-Lingual DVD
(qty)

 
Plastic brochure stand – double (qty)
($13.00ea please make cheque payable to LEHP Australia)


 

 

A hardcopy form can also be printed and sent to our head office.
Please click on the following link for a hard copy resource order form.
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