INTERNATIONAL ORDER FORM                                      (FAX 24 Hours to +61 2 95608056 )
JAPANESE PAPER AND ORIGAMI SUPPLIES
POST: PO BOX 558, Summer Hill NSW 2130, AUSTRALIA E-MAIL: sales@origami.com.au WEB: www.origami.com.au
TO PRINT FORM: First click anywhere on the form shown on the screen. Then use your browser print command/option to print the form.
Item Code
Item Description
Price
Qty
$ (AUD)
         
         
         
         
         
         
         
         
         
         
         
         
         
  If more lines required print form twice and fax or send both pages (mark extra page with PAGE 2 and your NAME).
SUB TOTAL
 $
 
LESS : 10 %
 $
 
PLUS Postage/Freight
WE WILL CALCULATE & ADD TO YOUR BILL
 $
TOTAL
$AUD
 $
DELIVERY INFORMATION
NAME* : ........................................................................................................................................................................................................
ADDRESS * : ...............................................................................................................................................................................................
...............................................................................CITY/SUBURB * : ........................................................................................................
STATE *: .................................................. POST/ZIP CODE* : ....................................COUNTRY * : ...............................................
E-MAIL ADDRESS :.......................................................................................... PHONE (bus. hrs): ...................................................
NOTE: The Above fields marked with an " * " are compulsory. We cannot send your goods without this information.
[ ] Please tick this box if you want e-mail advise to be sent to you regarding future specials or new products.
PAYMENT METHOD
[X] CREDIT CARD
Please tick one box Mastercard : [ ] Visa : [ ]
Card Number : _ _ _ _ - _ _ _ _ - _ _ _ _ - _ _ _ _ Expiry date :......../................
Name on card: ....................................................

Cardholder's Signature: ..........................................
END OF FORM