Please complete the form below with the all details asked for, as this will allow us to fill your order without error. To Fax the form below please fill out the details before printing, and fax to the number below.

Orders from outside Australia will have to have the International access code, + 61 then the number below minus the 0.

 

 

EMAIL AND FAX ORDER FORM

FAX NUMBER: 07 5499 9423



DESIRED
SUPER SMALL
 
QUANTITY
UNIT PRICE US$
$ 4.00 + postage
$ 4.00 + postage
$ 4.00 + postage
 
DESIRED
SMALL
  
QUANTITY
UNIT PRICE US$
$ 7.50 + postage
$ 7.50 + postage
$ 7.50 + postage
 
 
DESIRED
MEDIUM
  
QUANTITY
UNIT PRICE US$
$ 14.00 + postage
$ 14.00 + postage
$ 12.00 + postage
$ 12.00 + postage
$ 12.00 + postage
 
 
DESIRED
LARGE
  
QUANTITY
UNIT PRICE US$
$ 18.00 + postage
$ 18.00 + postage
$ 18.00 + postage
     
 
TOTAL IN US$
Minimum order $ 20.00 US

Name :
E-mail :
Address:
 
 
Country:
Phone:
Fax:
Method :
Card Number :
Expiry Date :
Minimum order $ 20.00 US
      



 
Postage for your order will be claimed on your credit card. An Australian postal receipt will be included with your delivery. Please state if you prefer overseas air or surface mail.

Minimum order $ 20.00 US

© Capeblue A.C.N 010 328 024