ME/CFS Australia (SA) Inc
Monday May 13, 2002
Keynote Speaker: Simon
Molesworth, AM QC
“Managing and Overcoming
ME/CFS”
|
|
Staff Use Only
Date Received
___ / ___ / ___
Payment Details
|
|
Member No.: ____________________________________________________________
Name: __________________________________________________________________
Address:________________________________________________________________
________________________________________________________________________
_____________________________________________ Postcode: ______________
Phone: _________________________________________________________________
| Video and Audio tapes
will be professionally produced. Please be patient – it will
take approximately three weeks before delivery. If you have not received
your order after three weeks, please call the office on: (08) 8410 8929. |
Post this form
along with payment to the:
ME/CFS Australia (SA) Inc
PO Box 383 Adelaide SA 5001
|