Order Form
Details:
Title: Dr Mr Mrs Ms First Name:
Surname:
Billing Address: Phone: Fax: Email:
Street Address:
Your Order:
Item No:
Brand: Rieker ARA Nike Birkenstock
Size:
Colour:
Price (A$):
Qty: Please select one 1 2 3 4 5 more than 5 Pairs please email via Contact us Shipping Information:
Your purchase will be sent to you by Air Mail post and you should allow up to 21 days for delivery.
Norfolk Island has two airmail dispatches a week and the cost of shipping is as follows (all prices are in Australian dollars).
Quantity
Australia
New Zealand
1 pair to 1kg
A$12
A$17
1 pair
A$15
A$23
2 kg to 4 kg (2 - 3 pr)
A $24
A$30
4 kg to 6 kg (4 -6 pr)
A$31.20
A$35
Total Price (A$):
Method of Payment:
Payment Details: Please Debit my Credit Card Postal Money Order in $AUD Personal Cheque in $AUD Bank Cheque/Bank Draft in $AUD
Credit Card Type: American Express MasterCard Visa
Credit Card Number:
Expiry Date: Month 01 02 03 04 05 06 07 08 09 10 11 12 Year 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019
Comments or Further Enquiry Information:
Please send payment to:
Frank's Shoes Cheryl, Graeme and Katrina Rayner, Proprietors P.O. Box 450 Norfolk Island, 2899, South Pacific Telephone: 6723 22703 Fax: 6723 23011 E-mail: franks@norfolk.nf or franks.shoes@ni.net.nf
Thank you for your order! Please visit us again soon.