This form is for fax or mail payments only.
To order online via our secure server click here

PLEASE PRINT THE FORM AND FILL OUT.

Grahams Natural Alternatives Pty Ltd
 Fax / Mail Order Form.

Name:
Delivery Address:

 

Phone: Fax: Email:
Product Description Quantity Total Cost
No Nitz Head Lice Control - 150ml - $15.95 $
Grahams Natural Soap - 100g - $6.95 $
Natural Shampoo - 250ml - $11.95 $
Natural Conditioner - 250ml - $11.95 $
Sooth-it Balm - 120g - $24.95 $
Sooth-it Gel - 50g - $12.95 $
Calendulis Plus cream - 50g - $18.90

$
Calendulis Plus cream - 120g - $35.90 $
Grahams Bath Oil - 100ml - $17.95 $
Grahams Bath Oil - 200ml - $28.99 $
Mega Oil - 200ml - $16.95 $
Mega Oil - 500ml - $33.90 $
ADD $3.50 PER ORDER FOR POSTAGE AND HANDLING ON ALL ORDERS in Australia.

$3.50

TOTAL ORDER

$

All prices are in Australian Dollars and include GST where applicable.

EASY ORDERS:

  1. Print Order Form, complete Credit Card details and FAX to (07) 5596 1702  (International 61 7 5596 1702)
    or POST by normal mail.

    OR
     

  2. POST by normal mail with money order for total order cost.

    SEND TO: Grahams Natural Alternatives, PO Box 4005, Ashmore, Queensland, 4214. Australia.

CREDIT CARD DETAILS 
If you would prefer Grahams Natural Alternatives to telephone you to obtain credit card details please tick here [     ] and provide a contact phone number (including area code): (        ) ...................................... (Australia ONLY)
Credit card number: _ _ _ _    _ _ _ _    _ _ _ _    _ _ _ _ Cardholder Name:______________________________
Card Type (please tick): [   ]Visa   [   ]MasterCard [   ]Bankcard(Australia only) Expiry Date: _ _ / _ _  ( MM / YY )
I authorize Grahams Natural Alternatives Pty Ltd to charge my credit card for the total amount specified in this order. I understand that goods will not be shipped until credit card details are confirmed. I also understand the penalties for fraudulent or illegal use of credit cards.

Authorized Signature: ......................................................................................


Thank you for ordering from Grahams Natural Alternatives Pty Ltd.