Order to: AUSTRALIAN MAGNET THERAPY 

Tel:  (08) 9295 3545 / Fax: (08) 9295 3545

Mailing Details:

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Name

 

Address:
City:
State/County:

 

Postcode/Zip

 

Country

 

Phone

 
Order items:

Item Code

Item Name

Quantity

Item Cost

Total Cost

Subtotal

       

+ Postage & Handling

       

Total

       
  Please fill in your address and payment details and send the completed form
with payment to our secure postal address:

AUSTRALIAN MAGNET THERAPY
17 Matthews Way, STONEVILLE
WA 6081, AUSTRALIA


Please make Cheque or Money Order payable to: AUSTRALIAN MAGNET THERAPY.

Alternatively you may order by:
Tel: (08) 9295 3545
(from overseas: +61 8 9295 3545) or
Fax: (08) 9295 3545
(from overseas: +61 8 9295 3545)

Office hours: 9am-5pm WAST Mon-Fri,
9am-12pm Sat, (excluding public holidays)
Answering machine available outside of office hours

Method of Payment: (circle one)
 Cheque 
 Money Order 
 MasterCard 
 Visa 
 Bankcard 

Please charge this purchase to my MasterCard/Visa/Bankcard:
Card No:
       
       
       
       
Expires:
   
/
   
Card holders Name:
 
Card holders signature:

Postage & Handling Information
Delivery costs will calculated and confirmed by phone A$0.00 

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