Please make Australian cheques and money orders payable to Pipe Dreamink Pty Ltd .
We will also accept Direct Deposits - contact us at opals@pipedreamink.com for the details.
YOUR NAME_____________________________________________________________________________
STREET____________________________________________________________________________
CITY__________________________ STATE___________ POSTCODE_________
COUNTRY ___________
PHONE____________________ FAX___________________ EMAIL____________________________
S imply print the order form, fill it in and send it (along with your cheque, money order or credit card details) to:
Pipe Dreamink Pty Ltd, 184 Deep Creek Road , Wynyard , Tasmania 7325, Australia
Or fax your order to: (03) 6442 1278
International: +61 3 6442 1278
Credit Card purchases welcome.
Please charge my: [_] Bankcard [_] Mastercard [_] Visa
Card Number _ _ _ _ * _ _ _ _ * _ _ _ _ * _ _ _ _ Expiry Date _ _ /_ _
Signature _____________________Name (as on card)____________________________________
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