Sands
Sands - Misscarriege Stillbirth and Newborn Death Support

REQUISITION FORM     -    Order No…………..

NAME:
 
DATE:
ORGANISATION/HOSPITAL:
 
ADDRESS:
 
TELEPHONE NO:
 
EMAIL:

N.B. – Minimum order $5.00      
PAMPHLETS – WRITTEN BY SANDS (Vic)
Quantity
Price
Total
SANDS (Vic)
 
.30c
 
Early pregnancy loss ….. it’s not “just a miscarriage”
 
.30c
 
Fathers grief….. when a baby dies
 
.30c
 
Facing subsequent pregnancy… after a baby has died
 
.30c
 
Making decisions… after the loss of a baby
 
.30c
 
It’s never too late… if your baby died many years ago
 
.30c
 
Certificate of Namegiving
 
.50c
 
BOOKS
Quantity
Price
Total
“Your baby has died”...(written by SANDS Vic)
* NB.     $10.00 each for 1 to 19 copies
              $ 6.00 each for 20 to 99 copies
              $ 5.00 each for 100 or more copies
 
$10.00*
 
Our Babies Have Died – collection of 37 stories written by bereaved parents
 
$24.95
(Gst inclusive)
 
Miscarriage – information booklet for parents & families (Written by SANDS (NSW)
 
$2.00
 
 “Prices subject to change”
            GST 10%
 
            POSTAGE & HANDLING (via Australia Post)
 
            TAX DEDUCTIBLE GIFT TO SANDS (Vic) – receipt will be issued
 
                                                                                                                TOTAL A$
 
 Bulk purchases are intended primarily for hospitals and funeral directors for free distribution
 We will invoice for all orders
Please send order to 208/901 Whitehorse Road, Box Hill Vic 3128
or fax (03) 9899-0219