Funtasia logoABN: 200 027 732 84
 Order Form

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

Email:Funtasia email address
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)
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.
International orders of $150 or more are $20.00 Per Order, $27.25 for orders of less than $150.

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.