38 Spencer Rd
Remuera,Auckland
NEW ZEALAND
Phone: +64-9-524-5487
Fax: +64-9-524-5387

Order Form

How to Order:

To place an order off-line, print out this form, complete the details and mail or fax it to us with your payment. (To make a secure credit card purchase on-line, click here)
Mail Order: Post completed form with your cheque or credit card details to the above address. Please write your name and address on the back of the cheque. Please note we can only accept cheques in NZ currency.
Fax Orders: Fax completed form with credit card details to the above fax number.
Name:
Address:
 
 
Phone: ( ) ( )
Payment Method: Cheque: Credit Card:
Credit Card Details: Mastercard: Visa: Name on Card:
  Card No: Expiry Date:
  Signature:
Product Name
Size
Price $
Quantity
Total $
         
         
         
         
         
         
         
Freight Charges:

Freight may be added to orders based on distance and weight.
Subtotal:
    
Freight:
    
Total:
    

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