Sandra Viden Design ~ Order Form


Post: PO Box 310, Kuranda Qld 4881 Australia
Phone/Fax: +61 7 4093 9299

ABN: 65 960 198 142

Customer and Delivery Details
Name:

Delivery Address and Contact Details (phone/fax/email):





Order Details
Item No. & Description Size Colour Qty Unit Price Total Cost
Total Cost of Items $AUD
Estimated Postage Charges (below) $AUD
TOTAL $AUD
Postage and handling charges are usually between $7 (1 item, less than 500 gm) and $10 (2 or more items, up to 3kg) within Australia, or between $14 (1 item, less than 250 gm) and $29 (2 or more items, up to 1kg) for Airmail outside Australia. The exact costs will be charged with your order.

Payment Details (Please print card details carefully)

$AUD Money Order   VISA   Mastercard

Cardholder's Name: ............................................................................................

Account Number: ..... ..... ..... ..... ..... ..... ..... ..... ..... ..... ..... ..... ..... ..... ..... .....

Expiry Date: ........... / ............


Signed: .......................................................... Date: ........... / ............ / ............