Order Form
Orders can easily be faxed or posted!
Simply print out the sheet below and fax it to 07- 3376 2189 or post it to
The Natural City
Reply paid 32 (within Australia only)
PO Box 32
Mt. Ommaney, Brisbane Queensland 4074 Australia
Name:_____________________________________________________
Address:___________________________________________________
___________________________________________________
State:
___________________________________________________
Country:________________________Postcode:__________________
Phone Number:______________________Email:_________________
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QUANTITY
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DESCRIPTION
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SIZE
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UNIT PRICE
$AUS
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SUB TOTAL
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Subtotal
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Please circle payment
method:
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Cheque Money
Order Credit Card
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Shipping
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If paying by Credit Card, please fill in
details below
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Total
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$
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Credit Card Number:_______________________________ Expiry
Date:_________
Card Holder
Name:_______________________Signature:______________________
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