certus

Payment
With order.
Within Australia as cash, postal money order, cheque, direct transfer into our account, or credit card.
Outside Australia as cash, international cheque, direct trasnfer into our account, or credit card.

If payment is to be made by credit card, pls let us know the following in your email order:

Brand of card : Visa    MasterCard   Bankcard    (currently accepted cards)

Card No  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .    Expiry Date  . . . . . . . . . . . . .

Name as imprinted in card  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Address of cardholder  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

A security measure when emailing your card details is to send the information in two or three stages, a few days apart, and/or have the transfer shared among email, fax, and tel. Our email address is held at a safe service provider and our computers are not constantly on line, which reduces the chances for accessing our data.

Birth date (Day-Month-Year) . . . .

Birth time . . . . . . . How exact is this time . . . . . . .

Birth place . . . . . . .

Birth country . . . . . . .

Birth gender . . . . . . .

Full birth name spelling of all names acc. to birth certificate (if adapted, in phonetic English version; no translated meaning of name). If present, show hyphens.

Personal Names (Given Names), underline or mark differently mostly used one

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Are the first vowel and last letter (if this is also a vowel) in the mostly used name pronounced 
-- short -- or -- long -- (please underline or mark differently)

Family Name (Surname). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 

1st name change or different spelling to (state combination of new/old Given Names/Surname)

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underline or mark differently area in which name is mostly used           private       work        all

name change registered (underline or mark differently)                           yes            no

used from (year) . . . . . . . . . . . . . . . . . to (year) . . . . . . . . . . . . . . . . . . . . 

2nd name change or different spelling to (state combination of new/old Given Names/Surname)

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underline or mark differently area in which name is mostly used           private       work        all

name change registered (underline or mark differenly)                           yes            no

used from (year) . . . . . . . . . . . . . . . . . to (year) . . . . . . . . . . . . . . . . . . . 

3rd name change or different spelling to (state combination of new/old Given Names/Surname)

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underline or mark differently area in which name is mostly used           private       work        all

name change registered (underline or mark differently)                           yes            no

used from (year) . . . . . . . . . . . . . . . . . . to (year) . . . . . . . . . . . . . . . . . . . 

4th name change of different spelling to (state combination of new/old Given Names/Surname)

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underline or mark differently area in which name is mostly used           private       work        all

name change registered (underline or mark differently)                           yes            no

used from (year) . . . . . . . . . . . . . . . . . to (year) . . . . . . . . . . . . . . . . . . .   

Delivery Format for Assessment (please underline or mark differently)

ringbound A4 folder        or     email-attached file (MS Word 97)        or    3.5" disk

Delivery Time

Except for Excerpts allow two weeks assessment time at our office.

Delivery Address for Assessment

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