Natural Fertility Management Kits Order Form

Your Name: Today's Date: //2008

Your Address: Town: State:Postcode:

Australia Post now offer "Safe Drop" for parcels if (a) you are not home and (b) you are not in an apartment block and (c) it is possible to leave the package out of the public eye. Alternatively you may opt to have the parcel taken to the nearest Post Office for you to collect.
Safe Drop OK; Do not Safe Drop

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I wish to pay using my credit card Visa; MasterCard; Cheque; Money Order; PayPal**

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I want to order a Natural Fertility Management Kit for Conception @ $150

I want to order a Natural Fertility Management Kit for Contraception @ $150

 

(Price includes postage within Australia) Total of your order: AUD$

Now print out this form and mail it with payment by credit card, money order or *cheque. Please make all cheques and money orders payable to Moon Pads. Send to: Moon Pads, PO Box 118, SANDY BAY, Tas 7006 Australia.
Do NOT email your credit card details to me as this is not a secure site. Information to order via phone or email

** To pay using PayPal first write me a *text* email with your details and details of the products you want (This form is *not* suitable to email as it loses all the info you add!). I will then invoice you by email and give you the link to make your payment.

*Payment by Personal Cheque is available for Australian bank accounts only. Bank cheques in Australian dollars are acceptable from any country.

Prices effective 1 December 2006 and subject to change without notice.
Allow 2 weeks for delivery of your order. Enquiries: <info @ moonpads.com.au>

® MoonPads is the registered Trade Mark of Moon Pads ABN 47 602 059 395 <http://www.moonpads.com.au> Phone (03) 6223 5151