Natural Fertility Management Kits Order Form

Your Name: Today's Date: //2009
Your Address: State
Postcode: Phone: (day); (eve)
Australia Post now offer "Safe Drop" for parcels if (a) you are not home and (b) you are not in an apartment block and (c) it is possible to leave the package out of the public eye. Alternatively you may opt to have the parcel taken to the nearest Post Office for you to collect.
Safe Drop OK; Do not Safe Drop
I wish to pay using my credit card Visa; MasterCard; *Cheque; Money Order; or To pay using PayPal** see below
My card number is: / / / Expiry date /
Name as on credit card: Signature: ___________________________
Email:Please send me the Moon Pads eNewsletter Yes; No
How did you hear about us?
 
 
I want to order a Natural Fertility Management Kit for Conception @ $150
I want to order a Natural Fertility Management Kit for Contraception @ $150

 

(Price includes postage within Australia) Total of your order: AUD$

Now print out this form and mail it with payment by credit card, money order or *cheque. Please make all cheques and money orders payable to Moon Pads.
Mail to: Sustainable Families, PO Box 118, SANDY BAY, Tas 7006 Australia.
*Payment by Personal Cheque is available for Australian bank accounts only. Bank cheques in Australian dollars are acceptable from any country.
** To pay using PayPal first write me a *text* email with details of the products you want (Do *not* try to email this form - it does not work!). I will then invoice you by email and give you the link to make your payment securely on line.
Do NOT email your credit card details directly to me as this is not a secure site.
 

Prices effective 1 December 2006 and subject to change without notice.
Allow 2 weeks for delivery of your order. Enquiries: <info @ greenfamilies . com . au> Phone (03) 6223 5151

Sustainable Families ABN 62 713 972 622 <http://www.greenfamilies.com.au>