Anwyl Bromeliads   International Order form

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.

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