We accept all major credit cards.
Currency
Converter YOU MUST READ THE TERMS AND CONDITIONS
FOR SALE BEFORE ORDERING
Please use your web browsers print function to print this form. Fill out this
form and fax or post to :
Medicine Garden Australia Pty ltd.
P.O Box 6432 Sth Lismore NSW Australia 2480
Ph: (02) 6622 2524 Fax : (02) 6622 2500
International use (612) and not the (02) area code.
Plant Catalogue $3 Product
Catalogue $3 Both Catalogues
$5 *Free with orders over $50.
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Name :____________________________________ Date:____/____/_______
Address :_______________________________________________________
City : _____________State:_____Country : _______ Postcode/Zip : _________
Phone : ______________fax : ______________email :___________________
| ITEM CODE |
PRODUCT |
SIZE |
QTY |
$/unit |
$ TOTAL |
|
Australia Post Overnight Express-- up to 500g $6.50 |
|
|
Australia Post Overnight Express-- 500g - 3 kilo $9.50 |
|
|
Total Amount of Order |
|
CHEQUE or money order payable to Medicine Garden Australia.
CREDIT CARD (Bill to Credit Card Account).
Credit Card: Minimum $20 product purchase plus freight expenses.
CARD TYPE # ________________________CARD
NO # ___________________________________
EXPIRY DATE #______________ISSUED
IN THE NAME OF #_______________________________
ISSUING BANK # ________________________SIGNATURE #_______________________________
No credit card orders will be fulfilled without name of
issuing bank or credit card issuer.