POSTER ORDER FORM

Please complete this form and post, fax or email to: 
           Virtual Beauty Corporation Ltd
            P.O. Box 322 Whangaparaoa 0943 New Zealand
info@virtualbeauty.co.nz

                  FAX NUMBERS
Australian customers: 0011 64 9 424 4459      U.S. customers: 011 64 9 424 4459
U.K. customers:  00 64 9 424 4459     South African Customers: 09 64 9 424 4459

 
 
Name:  
Clinic:  
Address:  
Suburb:  
City:   State:
Post code:   Country:
Contact: Ph: email

Cat No

Size(s) Req

Qty Req

Price (NZ$)
 
 
 
 
 
 
 
 
 

Airmail prices in NZ dollars based on up to six items

 New Zealand $8.00,  Australia $16.00,  US & Asia $24.00,  Europe, UK & South Africa $27
TOTAL NZ$
Payment method:     Cheque         Credit Card          Direct Debit
Credit card No:   Expiry:
Name on Card:  
 

Please make cheques made payable to:  Virtual Beauty Corporation Ltd
EFT / Direct Debit bank details: National Bank of NZ,   Takapuna Branch, (06 0383) 
Account No 012108700     Swift Code: NBNZNZ22AKL
 International Customers: Please email us for post and Freight Price for bulk items.

info@virtualbeauty.co.nz