MDA Superhero Capes You can order MDA Superhero Capes to wear during National Superhero Week (Mon 1 – Fri 5 Sept 2014) for a price of $10 (+P&H) per cape. Please call MDA on (03) 9320 9555 prior to placing your order to ensure there is enough stock available for your request and to attain the price for postage and handling (P&H). All P&H rates are calculated by Australia Post guidelines. It is advisable to place one bulk order to minimise these costs. As with all funds raised for Superhero Day, proceeds from the sale of these capes will be going towards supporting research at the National Muscular Dystrophy Research Centre (NMDRC). We suggest that along with others who will organise their own costumes, those wearing capes on Superhero Day would also make a gold coin donation. Deadline for all cape orders is: Monday 18 August 2014.

SUPERHERO CAPE ORDER FORM Please fill out the below form and send to Muscular Dystrophy Australia via: Email: [email protected] Fax: (03) 9320 9595 Post: Superhero Day, MDA, 111 Boundary Road North Melbourne VIC 3051

I would like to order a total of _____________ Muscular Dystrophy Superhero Capes at $10 each. Organisation’s name: ________________________________________________________________________________________________ Contact name: __________________________________________ Contact phone number: ___________________________________ Delivery: Pick up:

I have arranged with MDA to collect the capes from the North Melbourne office on: ______ / ______ / 2014

Postage:

I would like these to be posted to:

Street/PO Box_____________________________________________________

Suburb __________________________________________ State ___________________Postcode __________________

Capes TOTAL: $ ________________ (If applicable) I have been advised by MDA for the cost of Postage

and Handling (P&H): $ ________________

I authorise total payment to Muscular Dystrophy Australia for the amount of: MasterCard

VISA

Amex

Cheque (attached)

Card name: Card number: Expiry:

CVC:

Signature:

$

2014 Superhero Day Capes Order Form

SUPERHERO CAPE ORDER FORM. Please fill out the below form and send to Muscular Dystrophy Australia via: Email: [email protected] Fax: (03) 9320 ...

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