If you don't want to use the shopping cart, print this page out
and write the details on the form. Post or fax it to us.
Name |
|
Address |
 |
Phone |
|
Fax |
|
Email |
|
Order details |
|
Payment method |
Credit card /
Cheque |
Credit card type |
Visa /
MasterCard |
Card number |
|
Expiry date |
|
Name on the card |
|
How did you hear about
us? |
|
Comments |
|
Pitter Patter
PO Box 29-227
Greenwoods Corner
Auckland
Fax +64 9 625 5141
[ Back ]
|
