Precious 1 Feedback Page

Precious 1

Secure Online Order Form.

Complete all "Customer Information" fields, select your products & insert fabric codes, quantities and totals.

When you have completed the form, simply click on the "Submit Order" button to purchase on-line, OR,

Print this page, Highlight payment method and then Mail the completed order form . (See Contact Details)

Customer Information:

Name

Address

Telephone

FAX

E-mail

Qty Product Fabric Ext

Note: All Prices Include GST

Sub-Total

Postage

Order Total

Comments:

Select Payment Method. Master Card Visa Bank Card

Card Number: Use spaces between Groups eg; 0000 0000 0000 0000

Expiry Date: Use short date (M/Y) format eg; 05/03

	Complete all "Customer Information" fields, select your products & insert fabric codes, quantities and totals.
	When you have completed the form, simply click on the "Submit Order" button to purchase on-line, OR,
	Print this page, Highlight payment method and then Mail the completed order form . (See Contact Details)

Qty	Product	Fabric	Ext










Note: All Prices Include GST
		Sub-Total
		Postage
		Order Total