Fairy Queen Caroline

PO Box 219 Joondalup
Western Australia 6919

Tel. +61 (08) 9247 3236
Fax. +61 (08) 9247 3236

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Billing Details (*denotes required fields)

First Name

*

Surname

*

Phone

*

Email

*

Street Address

*

Suburb

*

Postcode

*

State

*

Country

*

Products (quantity)

DVD

@ $10.00 each + postage and handling

CD

@ $10.00 each + postage and handling

Story Book

@ $10.00 each + postage and handling

Total Value

A postage and handling fee of $5.00 will be added to each order. Please note for international and bulk orders additonal charges will be incurred.

Delivery Details

Same as above.

First Name

*

Surname

*

Street Address

*

Suburb

*

Postcode

*

State

*

Country

*

Pay by Credit Card

You will be contacted for credit card details prior to dispatch

Yes, I would like to pay by Credit Card

OR

Credit Card Details

If you would like to supply your credit card details please fill out details below, print order form and fax to +61 8 9247 3236

Credit Card Type *

Visa	Bank Card
Mastercard	American Express
Others

Cardholder Name

*

Credit Card Number

*

Expiry

/ MM/YY*

Signature