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MAIL ORDER FORM
Australia and New Zealand customers |
Australian Orders to:
The Keeper
PO Box 305
Bundanoon, NSW
2578 Australia
New Zealand Orders to:
The Keeper
PO Box 47820,
Ponsonby,
Auckland,
New Zealand
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Print, complete and then mail this form, along with a cheque or money order to one of the above addresses. |
First Name |
Last Name |
St Address |
City |
State |
Postcode |
Phone |
E-mail |
Quantity of Size A |
Size B |
Total Order |
If you wish to pay by Credit Card, please provide the following information : |
| Credit Card Number: |
| Name on Card: |
Expiry Date (mm/yy): |
Where and how did you find our website? |
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| Don’t forget to enclose a cheque for AUD $64.00 for each Keeper ordered. Thank you for your order. |
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