Rose’s Patterns
Mail
Order Form
Post
PO Box 74 404 Market Rd,
Auckland, New Zealand.
Fax
64-9-529 1485
Email
rosehill@clear.net.nz
Please Print This Form Out and Send to my Fax Number or email me by
clicking here
Please Print Clearly
I would like to
order the following:
| Pattern Number |
Pattern Name |
Quantity |
Price @ $10.95 NZ
(Equiv $US 6.60) |
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Airpost free Australia & NZ
Plus $2 per pattern rest of the world |
Postage: |
$ |
Totals: |
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$ |
Please Charge My:
(Choose one)
Card Number |
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Expiry Date |
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Name on Card |
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Signature |
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For your security no personal
details will be stored on our computer
Air Post To:
| Name: |
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| Address: |
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| Country: |
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Zip/Post
Code: |
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Fill in your Email address if you wish to be notified of new releases
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