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Product Order Form
Please print this form and send by fax or mail to:
EMEA Emu Oil,
795 East Maddisons Rd,
Rolleston
NZ, 7614
Please contact
us by email
Ph 064 3 344 1451
Fax 064 3 344 1452
| Product | Quantity |
Price |
Total |
| Pure Emu Oil 12g bottle | $6.00 | ||
| Pure Emu Oil 50g jar | $16.00 | ||
| Pure Emu Oil 100g bottle | $27.50 | ||
| Relief Cream 100g | $20.00 | ||
| Hand & Body Moisturiser 100g | $17.00 | ||
| Emu Oil & Aloe 70g pump | $20.00 | ||
| Soothing Lotion 70g pump pack | $20.00 | ||
| Emu Oil & Aloe Vera Cream 100g | $25.00 | ||
Lip Balm 12g pot
|
$4.00 | ||
| Soap balls With Emu Oil & Aloe Vera With Emu Oil & Manuka Honey |
$5.00 | ||
| Emu Oil capsules (50 by 1000mg) | $29.00 | ||
| Emu Oil Salve 100g | $26.00 | ||
Massage Balm 100g
|
$21.00 | ||
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Sub Total |
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Packaging & Freight Email us for overseas freight quotes |
$6.00 | ||
|
Total Payment |
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Name:................................................................................................................ Address for Delivery:.......................................................................................................... ............................................................................................................................................... Phone:.............................................................................................................. Fax:.................................................................................................................... Email: ...............................................................................................................
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Cheques should be made out to FosTech Ltd and mailed with order. Or please charge my |
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| Visa: | ||
| Mastercard: | ||
Name on Card:..................................................... Card Number:....................................................... Expiry Date:......................................................... Signature:............................................................... |
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