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ORDER FORM
Pétanque Boules Australia
45 Fiddaman Rd.
 
Emerald Beach, N.S.W. 2456
 
Phone/Fax: (61 2) 6656 2277
Email: info@obutaustralia.com

OPTION 1: please fill in the order form below, 
 
OPTION 2: If you intend to mail or fax your order to Pétanque Boules please click here to download our order form.                  Download Order Form (145 kb) 

 

* Required Information

Date: / /
First Name: *
Surname: *
Address: *
City: *
State: *
Post Code: *
Phone: *
Fax:
   
Email: *
   
 

Qty

Code

Size

Weight

Striation

 Your name or 9 Initial

  Total

$
         

$

$
       

$

$

Please ADD $11.00 for delivery up to 3kg

or $25 for up to 5kg

 

Total

$
  Net Bank to Pétanque Boules Australia

 B.C.U BSB 704328 A/C 196132

Please Address your Cheque or money Order to:

Pétanque Boules Australia  45 Fiddaman Rd.
Emerald Beach, N.S.W. 2456


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