Please use block letters

Customer Name.......................................................................................................

Delivery Address.......................................................................................................

Suburb/Town..........................................................................  State...................  Postal Code...................

Phone Number (Bus Hrs)............................................... Phone Number (Home)............................................

Email Address*...........................................................................................................................................

Code

Description

Quantity

Unit cost

Total Cost

         

 

 

 

 

 

 

 

 

 

 

SHIPPING AND HANDLING**

TOTAL INCLUDING GST

Comments

 

 

Method of Payment (Tick)   ____Credit Card      ____Direct Deposit***

Card Type (Tick)         _____VISA                  _____Mastercard             ______Bankcard

Name on Card.......................................................................................................

Card Number..................................................................................................     Expiry Date....................

Security Number (last 3 digits on the signature panel on the back of the card)................................

Signature...............................................................

 

* Please complete your email address as we use email to keep customers up to date about their orders.

** Shipping and handling is usually $9.90 per order per destination within Australia.  Information is available here.

*** For Direct Deposit orders please email service@decor.net.au before paying into our bank account to check stock availability and so we can email back payment instructions.