Lyns Fine Needlework------ Order Form
Mail to: Unit2 No9 Seven Hills Road. Baulkham Hills NSW 2153 Australia     
 Fax to
:(02)
9686 2325
Print this form out via your printer and complete the details and post or fax to the address above with your cheque or money order (if not using charge card ).
It is suggested that you set your page margins to Left 0.5   Right 0.5

Surname:                                                                        First Name:

Address:                                                                                                   
Town/City:                                                                State:                           Post Code:
                                                             
Home Ph:(    )                                                Bus/Mobile:

Method of Payment: [American Express] [ Mastercard]  [Visa]       [Bankcard]  [Cheque (Australia Only)]  [Australia Post Money Order] 
Card No:
        x         x         x        

Expiry Date:        /           /        Name on Card:  

Signature:

Item Qty Price Total


$ $


  $ $


  $ $


  $ $


  $ $


  $ $


  $ $


Postage & Handling   

    $

                                                       
                            

Total $
Office use only: