Order to: Vitality Magnetic Jewellery 

Tel: 07 55806718 / Fax: 07 55806718

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:

Vitality Magnetic Jewellery c/o J. Hay-Batchelor and M. D. Keen
18 Purlingbrook St,
Upper Coomera,
Queensland 4209,
AUSTRALIA


Please make Cheque or Money Order payable to: VITALITY MAGNETIC JEWELLERY.

Alternatively you may order by:

Tel: 07 55806718
(from overseas: + 61 7 55806718) or
Fax: 07 55806718
(from overseas: +61 7 55806718)

Office hours: 9am-5pm AEST Mon-Fri

email: vitality@magneticjewellery.com.au

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
AUSTRALIA Postage & Handling A$9.50 per order
INTERNATIONAL Airmail A$15.00 per order

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