Your details

Name	Organisation	Date required

Street address for delivery	Suburb	State	Postcode

Phone	Fax	Email

AMSA ID	Title	Version	Price	Quantity
AMSA 372	GMDSS Handbook (or download a copy from our website)	1/18	$10
AMSA 343	GMDSS Radio Logbook (or download a copy from our website)	7/16	$15
AMSA 353	Dangerous, Hazardous and Harmful Cargoes Handbook (not available electronically)	8/18	$20
Total cost

Payment by

Credit card (please fill out information below):

Credit card type Mastercard VISA	Card holder’s name (as it appears on the card)	Expiry date /
Credit card number	Card holder’s signature Date / /

How to submit

To place your order, you can either:

Scan and email your completed order form to: amsaconnect@amsa.gov.au

Phone our AMSA Connect team on 1800 627 484 (hold and speak with reception)

Terms and conditions

Replacements will be given for books damaged during delivery, or printing/binding errors.

A refund will not be given for unsold stock.