TO: Anwyl Bromeliads
P.O. Box 57.021
Mana 6230.
NEW ZEALAND or FAX to 64 4 2399-671
FROM:
_______________________________________
_______________________________________
_______________________________________
_______________________________________
please supply:
| Qty | item | Cost | Qty | item | Cost |
| Add Health certificate | 20.00 | ||||
| US $ total |
Payment by: cheque
Visa
Mastercard
Amex
Card #
Cardholder name ________________________________________
Card expires ___/___ MM/YY Signature:
IMPORTANT: if you elect to pay by credit card, we have to convert the prices back to New Zealand currency so we can bank the money, and your credit card will then be charged in your local currency at the bank conversion rate applying on the day we lodge the credit card voucher with our bank.