ORDER FORM
 
Print this page and use this form to order product from: ( please  print clearly )
Fax  it through to us:  (03)9836-0021
or save this page and send it as an attachment to an e-mail our address is
or Post it to: 227 Canterbury Rd Canterbury Melbourne Victoria 3126 Aust
Your Contact Details
Name:
Address:
                                                            Postcode
Phone No:
Fax No:
E-Mail:
Payment Method:  please indicate how you wish to pay we accept:
Visa  /  Mastercard /  Amex  / Cheques /  Direct Debit /  Money Orders
 
List below the product you wish to purchase, once this is received we will notify you of when you can expect to receive the goods, and advise you of any freight costs. Credit Card payments will be arranged via the phone, as no card details are kept on file for your security.
   
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Style Name:
Style Number:
Price:
Quantity Required:
 
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Product Range:
Style Name:
Style Number:
Price:
Quantity Required:

Product Range:
Style Name:
Style Number:
Price:
Quantity Required:

Product Range:
Style Name:
Style Number:
Price:
Quantity Required: