order form - Therapeutic Guidelines

order form
Are you a:
GP
Specialist (Specify
Pharmacist
Dentist
ABN 45 074 766 224
Nurse
)
Student (Medicine)
Student (Pharmacy)
Student (Nursing)
Other (Specify
Pricing details (GST inclusive)
Regular price
)
Student price (copy of student ID required)
• eTG complete online or CD Annual subscription, single user (initial fee) $335.00
$299.00
Renewal of annual subscription, single user (contact us for multi users)
$221.00
$221.00
• miniTG annual subscription (order via website: www.tg.org.au)
$155.00
$155.00
• Complete set of Therapeutic Guidelines titles (14 books) $399.00 (plus p/h)
$272.00 (plus p/h)
Order form
Price
Quantity
Cost
Therapeutic Guidelines (electronic)
$
$
·
Analgesic, version 6, 2012
$39 each
$
·
Antibiotic, version 15, 2014 NEW
$49 each
$
·
Cardiovascular, version 6, 2012
$39 each
$
·
Dermatology, version 3, 2009
$39 each
$
·
Endocrinology, version 5, 2014 NEW
$39 each
$
·
Gastrointestinal, version 5, 2011
$39 each
$
·
Neurology, version 4, 2011
$39 each
$
·
Oral and Dental, version 2, 2012
$39 each
$
·
Palliative Care, version 3, 2010
$39 each
$
·
Psychotropic, version 7, 2013
$39 each
$
·
Respiratory, version 4, 2009
$39 each
$
·
Rheumatology, version 2, 2010
$39 each
$
·
Toxicology and Wilderness, version 2, 2012
$39 each
$
·
Ulcer and Wound Management, version 1, 2012
$29 each
$
·
Set of Therapeutic Guidelines titles (14 books)
$399
$
·
Developmental Disability, version 3, 2012
$39 each
$
·
*Plus postage & handling: Antibiotic $14.50 Other books $9.50 2–5 books $14.50 6–10 books $19.50
11–16 books $22.50 eTG complete CD $18.50/yr.
$
·
Total
$
·
$
·
eTG complete: annual subscription
online
CD (add p/h)
Therapeutic Guidelines (books)
I would like to contribute to TGL’s program to provide Therapeutic Guidelines to developing countries.
All donations above $2 are tax deductible. See www.tg.org.au for more information.
Purchase
Phone: 1800 061 260 (Aust.)
Fax: (+61) 03 9326 5632
Online: www.tg.org.au
Email: [email protected]
Mail: Therapeutic Guidelines Limited, Ground Floor, 473 Victoria Street, West Melbourne, Victoria 3003, Australia
Your Details: Dr/Prof/Mr/Mrs/Miss/Ms (please circle)Surname (please print)
First Name
Address
State
Telephone (0 )
Email address
Yes for email update alerts
Payment: by cheque/money order payable to Therapeutic Guidelines Limited
OR
Visa
MasterCard
American Express
Postcode
The information collected is for internal TGL purposes
only and will not be made available to any third party.
Diners
CCV No.
Expiry date
/
Name on card
Signature
Date
A tax invoice will be issued on receipt of payment and/or included with delivery of goods. Prices valid until 30 June 2015. Discounts for bulk orders available: phone (03) 9329 1566. Overseas prices available on
request. GST charges for Australia only.
When completed and signed, this order form is intended for Therapeutic Guidelines Limited (TGL) at the address or facsimile number set out above. The information which it contains in relation to the person or
organisation whose details are included on the form is strictly confidential. If you have received this completed form in error, please notify TGL immediately at the facsimile, email or telephone number set out on the form.
You will then be advised by TGL whether the form should be destroyed or otherwise communicated to TGL.
W11-14

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