| Mobile: 0419 959 463 Phone: 08 9578 3892 Fax: 08 9578 3893 |
| Physical Address: Lot 51 Centenary Drive, Gidgegannup WA 6083 |
| Postal Address: 38 Centenary Drive, Gidgegannup WA 6083 |
| Email Address: nicole@darkselections.com.au |
DATE of ORDER: / /2008
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ITEM |
DESCRIPTION/COLOUR/SIZE etc |
QTY |
$TOTAL |
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SUB-TOTAL |
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(See Ordering Info.) POSTAGE |
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LESS VOUCHER no............... |
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BALANCE |
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| YOUR DETAILS: |
| Name: |
| Phone: |
| Email Address: |
| Postal Address: |
| NOTES: |
| *Please choose colours and sizes of all products "made to order" carefully as they can not be refunded if the wrong size or colour has been ordered. |
| *Orders will be posted/couriered out ASAP as soon as full payment is received. |
| ~Thankyou for your business~ |