DUNNYSTUFF
PRINTABLE ORDER FORM

Print this form out
and mail or fax to:

K T Enterprises
4A Bayview Drive
Waikawa Bay
PICTON   7220

Ph/Fax: 03 573 8887
Mobile: 027 655 6930

Name: ___________________________________
Address: _________________________________
________________________________________
City: ____________________________________
Zone: ______ Home Ph: (____)_____ -_________
Work Ph:(____)_______-____________________
Fax: (_____)______________________________
Mobile: __________________________________
Email: ___________________________________

NAME

PRICE

QTY
TOTAL
. . . .
 DUNNY STUFF - Pack of twelve (12) satchets
NZ$ 18.00
.  $
.    
     
 
SUBTOTAL  
 $
ADD P P & H IN NEW ZEALAND   
  NZ $4.00
ADD P P & H FOR DELIVERY TO AUSTRALIA   
  NZ $9.00
   
TOTAL TO PAY  
 NZ $

Method of Payment - Major credit cards
(Visa or Mastercard) or cheques.

Cheque:
made payable to:  K T Enterprises

     Tick box

Card Number: ____________________________________

Expiry date: _____________________________________

Name on card: ___________________________________

Signature: _______________________________________