ORDER FORM

This form may be filled in and submitted via the 'submit' button or print and fax the order (fax number: 08 8953 3233 ).
Prices are quoted in Australian Dollars.
If you require a currency converter, click here.

SECTION 1: YOUR PERSONAL DETAILS:
Given Name:
Surname:
Address1:
Address2:
Town:
Country:
Postcode:
Business Phone:
Home Phone:
Email:


SECTION 2: YOUR ORDER
Haterz - single
QUANTITY @ $4.95 each:
ORDER TOTAL IN $AUD (postage will be added):

Unveiled - EP
QUANTITY @ $8.95 each:
ORDER TOTAL IN $AUD (postage will be added):

Neva Mend - Single
QUANTITY @ $7.95 each:
ORDER TOTAL IN $AUD (postage will be added):

Limited Edition Demo CD - 10 Tracks
QUANTITY @ $20 each:
ORDER TOTAL IN $AUD (postage will be added):

T-Shirt
QUANTITY OF SMALL TSHIRTS: N/A
QUANTITY OF MEDIUM TSHIRTS (long sleeve only):
QUANTITY OF x - LARGE TSHIRTS:
TOTAL NUMBER OF SHIRTS @ $20 each:
ORDER TOTAL IN $AUD (postage will be added):


Remember to add $3:30 for postage and handling!!

Section 3: PAYMENT DETAILS
PLEASE CHARGE THIS AMOUNT TO ME USING THE FOLLOWING DETAILS
TOTAL $

Cheque/money order Invoice
Bankcard Visa Mastercard

Please send cheque/money order to:

Red Shift Artists
PO Box 3040
Alice Springs NT 0871

Name as it appears on Card
Exp. Date: /
Credit Card Number: