Natural Fertility Management Kits Order Form

Your Name: Today's Date: //2007

Your Address: State

Postcode: Phone: (day); (eve)

I wish to pay using my credit card Visa; MasterCard; *Cheque; Money Order; PayPal**

My card number is: / / / Final 3 digits on reverse side of card 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. 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 @ moonpads.com.au> Phone (03) 6223 5151

Brinsmead Babies trading as Green Families ABN 62 713 972 622 <http://www.greenfamilies.com.au>