E S S E N Z A



E S S E N Z A

p u r a

Purveyors of all that is fine in aromatherapy and essential oils

P.O. Box 63, Healesville, Vic, 3777

Telephone: (03) 5962 2830 Facsimile: (03) 5962 5702 Web: .au Email: sales@.au

ORDER FORM

Name: _____________________________________

Address: _____________________________________________________ Tel:___________Fax:________

|Qty. |Item |Unit Price |Sub-Total |

| |(Please specify product size) | | |

| | | | |

| | | | |

| | | | |

| | | | |

| | | | |

| | | | |

| | | | |

| | | | |

| | | | |

| | | | |

| | | | |

| | | | |

| |See chart below for guide to postage charges. Quotes will be given for unlisted combinations, States & |Postage | |

| |Express Post | | |

| |Feel free to photocopy the order form if needed |Total | |

|Postage Rates |

|Australia wide postage - $9.50 |

|Australia wide registered post - $12.50 |

|Overseas orders - $16.90 (only covers small items eg. Essential oils and blends, etc. All larger items quote on application) |

|**All 500ml – 1 litre bulk items will have a $2 surplus added to postage for each bulk item bought, excl. Vic** |

|**All 2.5 litre bulk items will have a $4.90 surplus added to postage for each bulk item bought, excl. Vic** |

|**All 5 litre bulk items will have a $7.50 surplus added to postage for each bulk item bought, excl. Vic** |

|**All 10 litre bulk items will have a $11.50 surplus added to postage for each bulk item bought, excl Vic** |

Payment Options

Card type: (please circle) Visa Mastercard Bankcard American Express

Name on card:_________________________ Signature: ________________________

Card No.: _________ -_________ -_________ -_________ Exp. Date: ______________

Note: Cheques, money orders, or direct payment to Essenza Pura also accepted.

Direct Payment : Essenza Pura P/L, CBA Bank South Melbourne, BSB 063 – 215, Acc 1017 3937

................
................

In order to avoid copyright disputes, this page is only a partial summary.

Google Online Preview   Download