Print Order Form

 

Funtasia logoABN: 200 027 732 84
Order Form

Funtasia the Adult Shop
1037A Victoria Rd
West Ryde
NSW 2114

Email:
Phone: 1800 029 955

Fax: (02) 9874 0355

Customer details:
Name:______________________ Date:______________
Address:______________________ Phone Number:_________________
 

______________________

______________________

 Email Address:__________________

Method of Payment:
(Phone and fax orders using credit card also welcome. Cheques payable to "TJ & R Investments".)
Cheque [ ] Money Order [ ] Credit Card [ ]


Credit Card Details:
(If paying by credit card)
Name of card holder: ______________________________________________________
Card type:Visa / Mastercard
Card number: ______________________________________________________
Expiry date: ____/____
Signature:____________________________________

Order Details:
Code:Product Name:Quantity:Cost:
    
    
    
    
    
    
    
    
    
    
    
  Postage:$__________
  Total:$__________

Postage within Australia is Free for orders of more than $150, $8.95 per order for orders of less than $150.
New Zealand orders are $18.95.
International orders are $24.95 Per Order.

All prices are GST Inclusive

We look forward to recieving your order, and we hope that you enjoy your products.

Thank you for shopping at Funtasia.