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	PURCHASE ORDER FORM Please print out this form and post to Canterbury Motor Racing School Your Full Name Name on Voucher E-mail Address City Contact Phone Please Tick if person is under 16 year of age If the voucher is a present Select Course Bronze Course ($245) Silver Course ($335) Gold Course ($425) .... Intermediate 15 ($245) Intermediate 25 ($335) Intermediate 35 ($425)

Print Purchase Form and send with cheque or credit card details to:

Canterbury Motor Racing School
P.O. Box: 16-288
Hornby
Christchurch
New Zealand

Gift Vouchers for each course can be purchased by credit card over the telephone. You can also fill out this form, print it and send it with a cheque payable to Canterbury Motor Racing School for the appropriate course amount, and we will get a voucher to you in the next few days When you recieve your voucher, you can ring the office to organise a suitable day to redeem it.

Call to purchase or book in

03 3496066