ORDER FORM   -
Block of the month – PLAYING WITH ANGELS

PRINT - Complete and send to:-

JEANETTE

LYN’S FINE NEEDLEWORK

Suite 2 / 9 SEVEN HILLS ROAD

BAULKHAM HILLS   NSW  2153

AUSTRALIA .
Phone / fax  -  (02) 9686 2325   -     from outside Australia +(612) 9686 2325

Email – lynsneedlework @aol.com


Circle as appropriate

  1. YES  - I would like to order the BLOCK OF THE MONTH OFFER for A$37.95 per month for 9 months including postage & handling within Australia  (overseas postage extra)   OR
  2. YES - I would like to take advantage of the 10% discount offer and pay A$307.40 on one payment including postage and handling (overseas postage extra). And receive my quilt over 9 months   OR   one delivery                                                                                                                                  OR
  3. YES – I would like to order the pattern only (available from August 2009) for A$89.10  plus $5.00 postage & handling OR
  4. YES – I would like to receive one pattern a month at $9.90 + $2.00 postage per month for 9 months (overseas postage extra)

 

METHOD OF PAYMENT

Circle as appropriate

 Charge my     -   VISA   -  MASTERCARD     at the time of  each delivery under option 1 and 4 or with the first delivery for options 2 & 3
or

PAID BY    -   MONEY ORDER   -  CHEQUE    

                      (Money Order and Cheques are available to Australian Customers ONLY for purchase options 2 & 3)

 

CARD NUMBER      ___ __ __ __ / __ __ __ __ / __ __ __ __ / __ __ __ __

EXPIRY DATE               __ __ / __ __   Security Code__________


NAME ON CARD
    ___________________________________________________

 

Email address         _______________________________________________________

 

Signature               _________________________________

 

DELIVERY ADDRESS
Name;  __________________________________________________

Address  _________________________________________________  
         
 City ___________________________ Post Code_________________

Phone   (____)  ________________________