| Quantity reqd. | Order Code | Description | Size (if applicable) | Price |
| $ | ||||
| $ | ||||
| $ | ||||
| $ | ||||
| $ | ||||
| $ | ||||
| Total of Goods | $ |
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POSTAGE:
Please include the $5 in your total if applicable. |
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PAYMENT BY CHEQUE: Australian currency Australia Post money orders, bank cheques or *personal cheques are suitable payment methods. Please make your cheque payable to: Mad Mutt. Please note for personal cheques, orders will be dispatched once the cheque has cleared. |
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PAYMENT BY
CREDIT CARD: Please complete the following information. (A receipt of your charge will be included with your order). Mad Mutt® accept: BANKCARD, MASTERCARD and VISA. |
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TYPE OF CARD:
(please tick) |
BANKCARD ( ) | MASTERCARD ( ) |
VISA ( ) |
| CARD NO: |
| NAME ON CARD:……………………………………………………...............EXPIRY DATE:………………..…..... |
| I, (Signature)............................................Authorise Mad Mutt® to charge $........................To my credit card. |
| YOUR POSTAL DETAILS: |
| NAME:………………………………………………………….CONTACT PHONE NO:……………………………... |
| POSTAL ADDRESS:………………………………………………………...…....…............................................... |
| EMAIL .........……………………………………………........................................…POST CODE……………..……... |
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Please mail the completed form, together with your choice of payment to: Mad Mutt: 24, Nankeen Avenue, Paradise Point, Qld. 4216. Thank you for your custom. |