KitZ Credit Card Order Form

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The online form below is designed to send us your transaction details via email. Please note that this form is Unsecure. If you want a secure form, please go to the Secure Online Ordering System. For the latest currency exchange rates, click HERE and follow a link. If you live outside of Australia or you are tax exempt, click HERE.
Name:   
Address:   
   
City:      State:  
Country:      Post Code:  
Email:   
Telephone:   

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Kit Code Kit Price Kit Weight
Freight Code:   
Freight Price:   
Sum Total:   

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Cardholder Name:  
Expiry Date:  
Card Type:    VISA   Master Card   Australian Bank Card

Credit Card Number:             
Type any additional comments or information in the space below

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This page was last modified on the 20th January, 1998 by Ian Clarke.
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