Official IELTS Practice Materials Order Form Please send __ copy/copies of the Official IELTS Practice materials Please send __ copy/copies of the Top Tips Practice Material General Please send __ copy/copies of the Top Tips Practice Material Academic Name _____________________________________________________

PLEASE FILL OUT IN CAPITAL LETTERS Delivery Address _________________________________________________________ _________________________________________________________ _______________________________________ Post Code ________

Payment Details Please select payment type: ___ Money Order ___ Bank Cheque (made payable to The University of Western Australia)

or ___ VISA ___ MCD (we do not accept AMEX or DINERS) A 1.5% credit card processing fee will apply.

I, _______________________________________________________ hereby PLEASE FILL OUT IN CAPITAL LETTERS

authorise The University of Western Australia Financial Services to deduct $________ from the card listed below. Cardholder’s full name ______________________________________________ Card Number __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ Expiry Date __ __ / __ __ _____________________________ Signature of Cardholder

OneStopCode

Qty Price AUD$

Description

54 40 IELTS Practice Material

54 35 Top Tip Practice Material ( General or Academic)

54 65 IELTS Practice Material & Top Tip Practice Material

(General or Academic)

55 10 IELTS Postage + Packing for Practice material

Total