KitZ Fax Order Form


The ordering form below is designed so that you can print out the finished form and either fax or send it to us at the fax number or address provided on our Contact Info page. Any information that you enter on this form will not be transmitted. For the latest currency exchange rates, click here and follow a link. If you have any problems with printing this form out (Netscape Navigator v2.x users), please use our Alternate Ordering Form. If you live outside of Australia or you are tax exempt, click here.
City:      State:  
Country:      Post Code:  


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


Cardholder Name:  
Expiry Date:  
Cardholder Signature:  
Payment Type:

Cheque  Money Order  VISA  Master Card  Aust. Bank Card
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This page was last modified on the 19th January, 1998 by Ian Clarke.
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