Order Form

Date________________

Name________________________________________________

Address______________________________________________

_____________________________________________________

_____________________________________________________

State______________________

Post Code_________________

Phone_____________________

Mobile_____________________

I wish to pay by...

1) Cheque or Money Order payable to Brian Tanti

2) Visa, Mastercard, Bankcard

Card Number __________________________________________________

Expiry Date __________________________

Signature _________________________________

This authorises Brian Tanti to debit my card account by $____________

All of our products are 100% Money Back Guaranteed

Terms and Conditions of Sale: The vendor cannot be responsible for goods lost in transit. Goods will be shipped as soon as chque, money order or credit card has cleared. Please allow 15 working days for delivery.

Note: Designs, colours, proces and sizes are subject to change without notice.

Please print this order form and fax to:

Brian Tanti

9379 7763