| Fax/Mail Order Form Rivers (Australia) Pty Ltd |
To fax within Australia: 03-5335 1206 To ring within Australia: 03-5335 1234 To fax from overseas: 61-3-5335 1206 To ring from overseas: 61-3-5335 1234 |
Before you fill in this order form, please make sure that
you refresh the product pages (just click
"Refresh" or "Reload" button on your browser) in order to get our most
updated pages with stock
availability information.
To make an order please print this page, fill in the details and then either fax or mail
it to us.
If you don't have a printer then please call us and place your order by phone. Payment may
be
made by credit card or money order.
Cheques not accepted.
Please note that the Rivers Online Shop has a minimum purchase value of $20.
(excluding any postage/shipping charges)
Queries regarding payment and delivery can be E-mailed to OnlineShop@rivers.com.au
Use the Currency Converter for currencies other than AUD.
| First Name: | Last Name: | ||
| Street address: | |||
| City: | Country: | ||
| Postcode/Zip: | Phone: | ||
| Fax: | E-mail: | ||
| Frequent Shopper Membership Number: | |||
| Payment Type | |||
| Made payable to: Rivers (Australia) Pty Ltd | |||
| Name on Credit Card | |||
| Credit Card Number: | |||
| Expiry Date: | Signature: | ||
| Credit Card Type: | |||
--- Anti-fraud & stolen credit card safeguards are in place. Prosecution will be pursued for all fraudulent orders. ---
| Product Name | Colour | Quantity | Size | Unit Price ($AU) | Total Price ($AU) |
Total Cost ($AU): |
* The postage/shipping cost applies to the clearance items, within Australia and overseas.