here - the Ostomy Association of Melbourne
Transcription
here - the Ostomy Association of Melbourne
Ostomy Association of Melbourne Inc Reg No: A0025655X ABN: 93 953 917 074 Burwood Industrial Park, Unit 14, 25-37 Huntingdale Rd Burwood VIC 3125 Ph 03 9888 8523 Fax 03 9888 8094 Email [email protected] ORDER FORM SEE REVERSE FOR ORDERING GUIDELINES Member Number: Date: Surname: Initials: Address Postcode: Phone: Email: For the Month of: Post or Pickup Brand Name Product Code (please circle) Description Quantity FREIGHT Victoria $10/Interstate $12 $ ANNUAL FEES Full member $55/Pensioner $40 (due in June) $ DONATION Donations over $2.00 are tax deductible $ TOTAL PAYMENT $ Payment Method : Cheque/Money Order ☐ Visa/Mastercard ☐ Minimum credit card payment is $20 which will cover two Victorian deliveries Multiple deliveries may be paid in advance. Funds will be held in member’s personal postage account Card No: ____/____/____/____ Cardholder’s signature Expiry: __/__ _______________________________________ Please allow ten business days for deliveries and three business days for pickups ONCE YOUR ORDER FORM HAS BEEN SUBMITTED WE ARE UNABLE TO MAKE ALTERATIONS Ordering Guidelines Orders must be in writing by post, fax or email - phone orders will not be accepted Complete the form fully, including the codes for the products required. Our processors work from the codes – ensure they are listed correctly Include a daytime phone number Orders not clearly marked for pick-up will be posted at the member’s expense Please allow ten business days for deliveries and three business days for pickups Check contents immediately after arrival – ensure products and quantities are as expected and promptly notify OAM of errors Monthly Limits The government limits ostomy products per calendar month – discuss the limits with a stomal therapist and order within the guidelines Orders cannot be backdated – once a month is over it is deemed that month’s products were not required Final orders for each month will be accepted until noon on the last business day of the month Orders may be submitted up to 5 days prior to the first day of the month – orders submitted earlier will be discarded Payments Credit cards: Minimum payment is $20 - this will cover two Victorian deliveries. Larger payments are welcome – funds will be held in the member’s personal postage account Cheques/money orders: Make payable to Ostomy Association of Melbourne Inc and write the member’s name clearly on the back. Bounced cheques will incur a charge of $20 Bank transfers, direct deposits and BPAY will not be accepted The balance of a member’s postage account is shown on the packing slip/address label that ships with the parcel Annual Fees Due each year in June. They may be paid earlier if desired. Donations As a not-for-profit organization we welcome donations. Donations over $2.00 are tax deductible. Holiday Supplies Members may request a two-month issue once per year, usually for a holiday. For example, April and May’s supplies may be collected in April and the next order placed in June. Holiday supplies must be pre-ordered in writing and clearly marked “Holiday Supply” The postage cost of a two-month issue is $15 Holidays requiring issues greater than two months or more than once per year must be accompanied by a copy of the member’s travel itinerary. Belts, Underwear and Support Garments We cannot exchange belts, underwear or support garments, nor can we advise on sizing. Garments should only be ordered on the specific advice of a stomal therapy nurse. Stomal Therapy Nurse Members may visit our stomal therapy nurse free of charge by appointment only Hours: Tuesdays and alternate Thursdays 8.30am to 3.00pm www.oam.org.au