Order Form

Instructions for use
Fill in order form, choosing either Cheque or Credit Card payment option.
Print out order form.
Sign order form under Credit Card details and send to the address below or fax order form to 07 3353 1723
Alternatively post Cheque and printed order form to:
65 Russell St
Everton Park
Queensland 4053.

Customer Details:

Required information is marked with a *

First name: *
Surname: *
Email:
Street Address *:
City: *
State: *
Postcode: *
   
Phone: *
Work Phone:
Mobile:

Racquet(s) to Order:

Description: Grip Size Qty Price
Postage & Handling
 $10
Total:    

Billing Information

For information about how you can pay Everton if you do not want to pay by credit card, visit the billing information section. If you do not want to pay by credit card, you do not have to fill in the credit card details. Just put a tick in the "Cheque Attached" or "Please call me to arrange payment" box instead.

Credit card: Visa Mastercard Bank Card
Card Holder's name:
Card Number:
Expiry Date:
Signature:  

Please call me to arrange payment
Cheque Attached

Back to Top
Home | Racquets | Order form | Contact Us | About Us
Copyright © 2005-2008 Everton Tennis and Gear