Coinwatch Order Form OFFICE USE ONLY OFFICE USE ONLY PC04

Member Number OR NEW Member? Delivery Address Change of Address (if different from completed on left)

Name: Name:

Address: Address:

Suburb: State: Postcode: Suburb: State: Postcode:

Daytime Telephone No: Daytime Telephone No: Email: Email:

ITEM CODE YEAR DATE DESCRIPTION QTY $EACH LINE TOTAL (if applicable) 13V80AAA 1964 Timber Photo Desk Clock with Kangaroo Dial. Model CAKPPDC 1 $169.00 $169.00

Sub Total $ SHIPPING Shipping Charge $ Delivery Express Courier FLAT RATE $9.95 Grand Total $

NB: EXPRESS COURIER must be signed for by a person living at the Some watches come with a choice of genuine or commemorative nominated address. / coins as well as specific year dates. INTERNATIONAL SHIPPING If this is the case, please specify your choices in the space provided. Please be aware that extra charges may apply. Per Delivery 1 Item 2-3 Items 4-6 Items NEW ZEALAND 19.50 22.50 24.50

US, CAN & ASIA. 19.50 22.50 26.50

WEST EUROPE 24.50 32.50 36.50

REST OF WORLD 24.50 32.00 36.50

PAYMENT DETAILS

I enclose my Cheque / Money Order (payable to “The ”) for the amount of $

Or

Charge my (please circle): MasterCard / Visa / Diners Card / American Express

Card Number Expiry Date Security Code

The unique non-embossed number printed on the signature panel on Cardholder Name the reverse of your card or, for Amex holders, it is the unique non- embossed number printed on the front of your card above your main credit card number.

PLACE YOUR ORDER BY:

Email: [email protected] Mail: The Perth Mint Fax: (08) 9225 5012 Reply Paid 6297 PO Box 6297 East Perth WA 6892 HOW TO SHOP FROM THE PERTH MINT

Freecall Australia: 1800 098 817 Online: Limited Edition Sell-Outs: International: +61 8 9421 7218 www.perthmint.com.au Some coins have very limited worldwide Credit card orders may be placed by Place your order online anytime day mintages and can sell-out quickly. We phone between 8:30am and 4:00pm or night by visiting our website at recommend that you place your order on Monday to Friday (AWST). Our friendly www.perthmint.com.au You can our website to avoid disappointment. team are here to help you with all your also log on and check the status orders, requests and enquiries. of orders placed via our website. Email Newsletters Subscribe to our email newsletter at Mail: Delivery: www.perthmint.com.au/Subscribe to receive Send your order with your payment Orders are normally despatched within 2 the latest information on new releases, special or credit card details to: days subject to payment and stock offers, competitions and much more. The Perth Mint availability. Delivery usually takes 1-2 days Reply Paid 6297 from despatch. To check on the progress Returns, Refunds & Exchanges: PO Box 6297 of your order, contact our Customer All items (excluding bullion products) carry East Perth WA 6892 Service Team. Please provide a contact our 30-Day Money Back Guarantee, which AUSTRALIA email (associated with your account) to allows the returned items to be replaced or ensure you receive a notification on your refunded of the purchase price (excluding Fax Australia: (08) 9225 5012 despatched order. delivery charges). Please contact our Fax International: +61 8 9225 5012 Customer Service Team before returning any goods. Credit card orders can be faxed seven days a week. Send your order with your credit card details.

TERMS AND CONDITIONS

1. All prices are in Australian dollars, inclusive of GST where applicable, and are 10. Lay-by: A lay-by service is offered for orders in excess of $300 with payments correct at the time of printing. The Perth Mint reserves the right to amend to be made in four (4) equal monthly instalments by credit card, cheque or prices without notice. money order. The first instalment must be a quarter of the total order value (including shipping) and must accompany the order. After the final payment 2. All items are available at the time of publication and, unless otherwise is received, the goods will be dispatched to you. When lay-by payments are notified, orders will be accepted on a first-come, first-served basis while made by credit card, authority for all four payments is deemed to be given stocks last. with the first payment, and no additional authority will be requested. Lay- 3. Orders will not be processed without payment. Payments not received by cannot be accepted for bullion coins. Lay-by orders not completed will within seven days will result in cancellation of the order, without notice. incur a $50 administration charge. Only one lay-by at a time is allowed per customer. Once a lay-by has been set up it cannot be altered. 4. Credit cards will be debited and cheques banked on receipt of order. 11. Subject to Australian Consumer Law, the proprietor of The Perth Mint, its 5. In the event of any one or more coins being unable to be sourced, an servants/agents make no representations or warranties, express or implied, appropriate refund will be made and the balance of the order accepted. or offer or give any advice or opinion as to the numismatic or investment 6. The number of units issued to any individual in response to an order shall be value or potential or otherwise of any of the units. the sole decision of The Perth Mint. 12. Although every care has been taken in the preparation of this publication, 7. Incorrect payments will be returned for correction before the order can be The Perth Mint and its affiliates cannot be held responsible for the accuracy accepted. of any statistic, statement or representation made. The Perth Mint and its affiliates cannot accept any liability for any loss suffered as a result of any 8. Delivery charges must be included, as indicated on the Order Form. action whatsoever taken by any person based on this publication. 9. All deliveries are arranged by the Coinwatch Supplier, and must be signed for 13. For full Terms & Conditions refer to www.perthmint.com.au. by a person living at the nominated address.

PRIVACY AND SECURITY

GoldCorp Australia (trading as The Perth Mint) does not disclose personal information about any of its customers to any unrelated third party or any unauthorised personnel. Information may only be disclosed to authorised government and legal authorities, and authorised contractors conducting business on our behalf. Generally you have received this information because you have previously purchased from us or you have requested to receive it. Should you no longer wish to receive such information from The Perth Mint, either by mail or e-mail, please contact our Customer Service Centre on Freecall 1800 098 817 or +61 8 9421 7128.

Registered Office: For further information on The Perth Mint and its range of precious metal GoldCorp Australia products, please write to us at the address above, email ABN: 49 230 812 547 [email protected] or visit our website at www.perthmint.com.au 310 Hay Street East Perth WA 6004