Radiance Order Form

PO Box 1739 Byron Bay NSW 2481 Australia
Fax: (02) 6680 7871 (Australia) | Phone: (02) 6685 9015 (Australia)
Mobile: 0403 135 342 (Australia) | Email: info@radianceretreats.com

Qty
Item Description
Size
Colour
Item
Price

Sub
Total
(prices include GST)
           
           
           
           
           
           
           
           
           

Add postage Costs to your payment

Calendar: no postage to add
Diary / DVD / Books:
$7 each for orders within Australia and from $15 for international orders (depending on order amount)
Clothes: $12 for orders within Australia (up to 6 pieces)
from $15 for international orders (depending on order amount)
Total Cost
 
Postage
 
TOTAL
  

Name:

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Address:

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Phone:		 .......................................................................................................................

Email: 		........................................................................................................................

Payment Method:
Cheque/money order Visa Mastercard Bankcard

Total to Charge: 		.......................................................................................................................

Card Number: .		 ........................................................................................................................


Expiry Date :

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Name on card: 		.......................................................................................................................

Signature:		 .......................................................................................................................

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