NEW ZEALAND
DOWN SYNDROME ASSOCIATION
 


The Transition Process DVD ORDER FORM

Please supply ________ @ $20.00 per DVD (including postage and handling) to:
(please note that if you are a member of NZDSA with a child aged 0 – 6 then you are entitled to one copy of this free of charge)

Name        ___________________________________________

Address     ___________________________________________

                  ___________________________________________

Telephone ___________________________________________

Amount enclosed $___________________ or direct credit to ASB 12373 0090874 00 and use your surname as reference. Please telephone, email or post your order form so we have your details to post the DVD to you)

Please return the order form and payment to:

Linda te Kaat, National Administrator, NZDSA
C/- 1 Berisdale Place, Harewood, Christchurch
Telephone 0800 693 724 press 2
Email – nzdsai@xtra.co.nz

On behalf of the New Zealand Down Syndrome Association we thank you for your support.