MOIRA - Keycards

Bright and easy to read, MOIRA Key Cards are produced in a handy and portable format, and are individually laminated to protect them from spills and other damage. There is a space for you to include all the important information about the person you care for (including a photo on the front). They have been designed especially for use when the person is away from their usual carer e.g. hospital, respite, outings, holidays, etc. The total cost of the Key Cards (including laminating) is only $15.00 (GST Exempt)

Order Your Keycards Below...

name

address

state

postcode

phone

facsimile

I would like to donate the amount of $

I wish to order sets of Key Cards @ $15.00 per set. (GST Exempt)

I wish to order replacement cards for my existing set of cards:

I need the following card numbers @ $2.00 per card,
plus $3.00 postage & handling.

My cheque is enclosed (please complete form, print & mail together with cheque).

Mail to: 928 Nepean Highway, Hampton East, Victoria 3188

Debit my

mastercard

banckcard

visa

card no.

expires: