11 Blaylock Court,
Morayfield, 4506
Queensland, Australia
Fax: (07) 5428 6680

Name:
Address:
Suburb/Town/City:
State:                                                                                   Postcode:
Phone No:  (        )
Email:
e-teddies Club Membership No.:
Beanie Kid Club Membership No.:
Method of Payment:
[  ]  Mastercard
[  ]  Visa
[  ]  Bankcard
[  ]  Cheque
[  ]  Money Order
Type of Postage Required:

[  ]  Regular
[  ]  Express

Name as Shown on Card:
Card No: __ __ __ __ / __ __ __ __ / __ __ __ __ / __ __ __ __

Expiry Date: __  /  __

Signature:                                                        3-digit Security No. on Back of Card:  __ __ __
  Qty       Item                                                                              Unit Price                     Total

 $                     

$                     

$                     

$                     

$                     

$                     

    $                     

*(We will add on postage cost)   Order Total    $                     

All prices quoted are GST inclusive and a tax invoice will be issued with your order.

An email will be sent to you on receipt of your order. You will be notified when order is confirmed. If this does not occur, please contact us at sales@e-teddies.com.au

Postage will be calculated by weight and charged at cost.