Acupuncture Australia Logo

On-line Order Form

Until the new website with shopping cart is completed,
it may be easier to email us your order.
 
Email: acupa@tpg.com.au


 


Acupuncture
Australia

 

	Option 1: Simply fill in the delivery details, item number & quantity, then submit 
		  the form. Prices and calculations will be shown on your tax invoice.
	
	Option 2: Fill in all the fields including prices and the total, then submit the form.


	Note:	(1) Fields marked with *  must be filled in.
		(2) The other fields are optional.



Delivery Cost



Payment Details



Contact Support


  Fields with * must be filled
Name/Company:
Shipping and
Billing Address:		 *Street:
*Suburb:
*State: *Post Code:
Order Number: Date:
Contact Details: *Email Address:
*Contact Name:
*Phone Number: For verification & credit card payment.
Fax Number:
*Item No. Description
(optional)		 *Quantity Unit Price (ex-GST)
(Optional)		 Amount
(Optional)
Cost of Goods (excluding GST):
Delivery Cost (excluding GST):
Total (excluding GST):
Australian Order add 10% GST:
Total Payable:
  Comments:
  

  Standard Delivery Cost  
 
  
   Free delivery for purchases of $300.00 (inc. GST) or more. For orders under this amount, there will be a flat    fee of $8.80 (inc. GST) to anywhere in Australia.
 
   Please click "Delivery Cost" for more information on freight charges.


  Payment for On-line Order  
 
   Please note purchases by the general public or overseas customers must be paid in advance.
 
   Please click "Payment Details" for more information on making a payment.
 


  *Please indicate your preferred method of payment:
 
Cheque/Money Order (Practitioners only)
Credit Card (You are required to enter card details after clicking Send Order)
EFT/Direct Deposit