Order by fax

To order by FAX, you can print out the form below and FAX the completed form to us on 02 9757 2818
(for international +61 2 9757 2818)
(Note: you can also fill in the form by TYPING directly into the fields below, and then print it to fax it).

Your details Full name: Company name: Address: Contact Phone: Contact Email:     Hamper details Gift Hamper Name: Gift Hamper Price: Quantity Gift Tag message     Recipient's details Recipient's name: Recipient's Company: Recipient's Contact Phone: Delivery Address (street, suburb, state, postcode): Delivery Area/Cost: (Please tick one) NSW Metro ($13) NSW outer Metro & ACT($15) NSW Intrastate($20) VIC Melbourne ($15) VIC outside Melbourne city ($23) QLD Brisbane ($15) QLD outside Brisbane city ($23) SA and TAS ($27) NT and WA ($31) Preferred Delivery Date: (all efforts made to accomodate) Special Instructions: If there is nobody home to receive the package, do you give permission for it to be left at the door? Yes, permission to leave at door No, do not leave package unattended     Credit Card information Credit Card Number: Name on card: Expiry Date CCV Number: (The last 3 digits on the back of the card)