Safe Tan Mail / Fax Order Form

Payment Details (All payments in $AU):- Credit Card / Money Order / Cheque

Visa

Mastercard

Amex

Credit Card No:

Expiry: ____/____

Name on Card:______________________ Signature:___________________________

Money / Postal Order *

Cheque * AU $_________________

* Payment must be made in AU dollars. All Money Orders/Cheques subject to clearance prior to shipping of goods.

Shipping Details:-

Name:	..........................................................................			Email:*	...........................................
Address:	..........................................................................			Phone:**	...........................................
Suburb:	..........................................................................			Mobile:	...........................................
State:	...............................	P/Code:	............................	Fax:	...........................................
Country:	..........................................................................
* FREE Bonsuses are sent via email and require internet access. **In the unlikelyhood we need to contact you in relation to your order, we will do so by phone or email. Please note if these details are not noted, delays in depsatch of your order may result.

Please remit completed order to:-

Fax:	07 3805 3561 (Australia)	Post:	Imaginative Products & Promotions Pty Ltd
	+61 7 3805 3561 (International)		PO Box 172, Waterford QLD 4133
			AUSTRALIA