HEALTH PROFESSIONAL RESOURCE ORDER FORM
ABN 36 051 131 901
Cost each
(incl GST)
Title
Quantity
Total
COPD Resources
Better Living with COPD –A Patient Guide–2nd Edition–**discount applies to bulk orders
$15.00
Home Oxygen –**discount applies to bulk orders
$10.00
Chronic Obstructive Pulmonary Disease (COPD)
$0.45
COPD - Save Your Breath **discount applies to bulk orders
$5.00
COPD Stepwise Management
COPD Patient DVD – Living with COPD
$1.00
$14.00
COPD Medicine Wall Chart
5 Free*
Indigenous Resource Pack –
$10.00
Flyer x 25- Short of Wind? Flyer x 25- My Plan, Poster x 5– Short of Wind?
Lung Cancer Resources
Better Living with Lung Cancer - **discount applies to bulk orders
Lung Cancer
$15.00
$0.45
DVD Mesothelioma
20 Free*
DVD Lung Cancer – Understanding, Managing, Living
20 Free*
Answering your Questions about Lung Cancer
20 Free*
Lung Cancer Pins
20 Free*
Lung Cancer Network Brochure
20 Free*
Asbestos in the Home
$0.45
Pleural Mesothelioma
$0.45
Self Management Resources
DVD Set Better Living with Your Lung Disease – Full set of 10 DVDs **discount
applies to bulk orders
$38.00
DVD Single Better Living with Your Lung Disease –all 10 DVDs on single Disc
*discount applies to bulk orders
$25.00
Better Living with Your Lung Disease – Health Professional Kit
$65.00
Other Lung Conditions
Acute Bronchitis
$0.45
Alpha –1- Antitrypsin Deficiency
$0.45
Bronchiectasis
$0.45
Idiopathic Pulmonary Fibrosis
$0.45
Interstitial Lung Disease – Adult
$0.45
Interstitial Lung Disease – Paediatric
$0.45
Pulmonary Arterial Hypertension
$0.45
Sarcoidosis
$0.45
General Resources
Bronchoscopy
$0.45
The Common Cold
$0.45
Corticosteroid Therapy
$0.45
Home Oxygen Treatment
$0.45
Influenza
$0.45
Lung Transplantation
$0.45
Obstructive Sleep Apnoea
$0.45
The Lungs
$0.45
Tuberculosis
$0.45
Understanding Cough, Wheezing and Noisy Breathing in Your Child
$0.45
Lung Foundation Australia Information Brochure
20 Free*
Quality of Life Through Patient Support
20 Free*
Bequests & Your Will
20 Free*
Lung Health Checklist
20 Free*
Just One Breath postcards (quantities up to 50 are free)
50 Free*
Just One Breath poster (quantities up to 5 are free)
5 Free*
*Please note that all resources listed as “Free” freight is additional
Subtotal
Delivery Pricing & Method
$
Delivery
Courier Brisbane, Sydney, Melbourne Metro Areas
5kg to 10kg
$20.20
Courier costs for Outer Metro Areas and over
10kg– contact for price
Australia Post Satchel Under 3kg
$12.70
Express Post Satchel under 3kg
$14.05
Above prices are dependent on weight limits please call 07 3251 3600 for verification- prices subject to change
TOTAL PAYABLE
$
HEALTH PROFESSIONAL RESOURCE ORDER FORM
ABN 36 051 131 901
Postage Terms & Conditions
Unless the courier option above is chosen, Lung Foundation Australia is unable to track orders and is therefore not responsible for the
loss of orders sent by post Prices are for postage within Australia only. Additional charges may apply to regional areas. Additional
charges may apply for bulk orders (over 300 leaflets, over 25 sleep aponea booklets and for multiple copies of the Better Living with
COPD- A Patient Guide – please enquire to confirm p/h costs)
**Discount applies to bulk orders for selected items
Quantities
Discount
1 to 9
Nil
10 to 99
10%
100 to 499
15%
500+
20%
Payment Method:
 Purchase Order attached. Hospital and Community Health Customers Please Note: Payment is required prior
to leaflets being posted; a tax invoice/ receipt will be forwarded with the leaflets if there is no approved
Purchase Order provided.
 Cheque or money order attached. Please make payable to Lung Foundation Australia and forward
with completed order form to Lung Foundation Australia, P.O. Box 1949, Milton QLD 4064,
Telephone 07 3251 3600, Fax 07 3368 3564
 Credit Card
 MasterCard

 Amex
Visa
Card Number:
Cardholder’s Name:
Expiry Date:
CVN: __________________
(last 3 digits on back of card)
Signature:
Or
 Please provide an invoice for a purchase order to be created
_________________________________________________________________________________
Purchaser Details: PLEASE PRINT!
Company Name
Contact Name
Department
Delivery Address
Suburb ______________________________________________ State
Phone
Post Code
Fax
Email
Email completed form to : lfaoffice@lungfoundation.com.au or Fax : 07 3368 3564
June 2015