THE AUSTRALIAN GEMMOLOGIST
2006 ADVERTISING BOOKING SLIP		 Forward completed form with payment to:
The Australian Gemmologist
Mrs Hylda Bracewell
Post Office Box 6055
MITCHELTON, Queensland
Australia
4053

All Payments in AUSTRALIAN DOLLARS
(Please print this form before completing and mailing. NOTE: When printing this form, click the cursor within the form boundary to select this page, before choosing print)

Please book advertising space in the 2006 issues of The Australian Gemmologist as follows:
(Please tick appropriate box)

Appearing in: Size of advertisement:
 Four (4) issues  Full page
 First quarter  Half page
 Second quarter  One-third page
 Third quarter  One-quarter page
 Last quarter
New copy will be supplied?  YES  NO
Please use existing copy?  YES
Payment will be made:  In
advance		  With
each issue
The journal is
published quarterly:		 Jan-Mar
Jul - Sep		 Apr - Jun
Oct - Dec
Copy is Required: 1st Dec
1st Jun		 1st Mar
1st Sep

Please print clearly to avoid delays

Company name ..................................................................................
(contact name) ..................................................................................
Address ..................................................................................
..................................................................................
..................................................................................
Telephone: ..........................................
Facsimile: ..........................................
email: ..........................................
Signature ..........................................
Date: ....../....../......