Logo Transparent 110w.GIF (3073 bytes) Fax/Mail Order Form

Rivers (Australia) Pty Ltd
124 Yarrowee St
Sebastopol VIC 3356
Australia

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
squre.GIF (107 bytes) Money order Made payable to: Rivers (Australia) Pty Ltd
squre.GIF (107 bytes) Credit Card   (Cards Accepted: Visa, MasterCard, Bank Card)
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)
           
           
           
           
           
           
     

  Postage/Shipping Cost * :  

     

  Total Cost ($AU): 

* The postage/shipping cost applies to the clearance items, within Australia and overseas.