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AUSTRALIAN
ORDER FORM (FAX
24 Hours to (02) 9744 7912 )
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JAPANESE
PAPER AND ORIGAMI SUPPLIES
POST:
PO BOX A32, South Enfield NSW 2133, 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.
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Item Code
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Item Description
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Price
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Qty
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$ (AUD)
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| Postage
& Handling Charges: |
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Value of Order
(Sub-Total Amt):
A. Orders costing up to $10 (inclusive)
B. Orders costing between $10 and $25 (incl)
C. Orders costing between $25 and $65 (incl)
D. Orders costing more than $65
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.
A. $3.20
B. $5.90
C. $8.90
D. $10.00 |
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SUB TOTAL
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$ |
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PLUS
Postage/Freight
See Freight Table Left
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$ |
| TOTAL |
$AUD
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$ |
NAME*:
.................................................................................................................................................................................................
ADDRESS
*: .........................................................................................................................................................................................
CITY/SUBURB *:
..............................................STATE
*: .............................
POSTCODE*:
..................................
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.
Tick one of the payment options
and complete any required details for
that method
[ ] Credit Card (complete
credit card details below) [
] Enclosed cheque / Money order
| Please
tick one box |
Mastercard : [
] |
Visa
: [ ] |
Bank Card : [
] |
| Card
Number : _ _ _ _ - _
_ _ _ - _ _ _ _ - _
_ _ _ |
Expiry
date :......./.......... |
| Name
on card: ................................................. |
Cardholder's
Signature:.................................... |
END OF FORM