Please order your SkypePhone by completing this online form
First Name
Last Name
Membership number
Your Email address
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How many SkypePhones do you want @$29.95 each?	Select 1 2 3 4 5
How do you wish to pay this amount?	Select Internet Banking Credit Card Cheque Direct Deposit TC Points
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To what address do you want your SkypePhone  sent?
Street or Box Number
Suburb
City
Postcode/Zip Code
Country