ORDER FORM
Mail  to:
Pétanque Boules Australia
45 Fiddaman Road  Emerald Beach  NSW 2456
 
( please Copy the form below if you intend to mail your order in. Thank you. )
 


 

DATE: __ / __ /__

Mr /Mrs./Miss: _________________________________
ADDRESS: _____________________________ CITY: ___________
STATE: _____ POSTCODE:______
PHONE: _________________ FAX: _______________________

Qty

Code

Size

Weight

Striation

Unit Price

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:
 
Petanque Boules Australia

Phone: 612 6656 2277

Email: info@obutaustralia.com
Signature:

 

 

© Copyright Obut® Australia. All right Reserved. February, 2008