ORDER FORM
First Name
Surname
Address:
Delivery address for courier
Not
a PO Box please.
Street
Suburb
City
Post code
Country
e-mail:
*
Please ensure you provide your e-mail address
Phone number Day
Phone number Night
Cellphone
Select Item
Qty
Select Colour
Enter Amount
Adult Swing Seat $225 each
Child's Swing Seat $99 each
Baby's Swing $130 each
Sloth Cloth $185 each
0
1
2
3
4
5
marine blue
light navy
dark navy
forest green
rose red
burgundy
terra cotta
=
$
Adult Swing Seat $225 each
Child's Swing Seat $99 each
Baby's Swing $130 each
Sloth Cloth $185 each
0
1
2
3
4
5
marine blue
light navy
dark navy
forest green
rose red
burgundy
terra cotta
= $
Adult Swing Seat $225 each
Child's Swing Seat $99 each
Baby's Swing $130 each
Sloth Cloth $185 each
0
1
2
3
4
5
marine blue
light navy
dark navy
forest green
rose red
burgundy
terra cotta
= $
Adult Swing Seat $225 each
Child's Swing Seat $99 each
Baby's Swing $130 each
Sloth Cloth $185 each
0
1
2
3
4
5
marine blue
light navy
dark navy
forest green
rose red
burgundy
terra cotta
= $
Child's Swing Seat $99 each
Baby's Swing $130 each
0
1
2
3
4
5
multi coloured
marine blue
light navy
dark navy
forest green
rose red
burgundy
terra cotta
= $
Child's Swing Seat $99 each
Baby's Swing $130 each
0
1
2
3
4
5
multi coloured
marine blue
light navy
dark navy
forest green
rose red
burgundy
terra cotta
= $
Mounting Bracket $25.00 each
Webbing Sling $18.50 each
Stainless Steel Swivel $19.50 each
0
1
2
3
4
5
= $
Mounting Bracket $25.00 each
Webbing Sling $18.50 each
Stainless Steel Swivel $19.50 each
0
1
2
3
4
5
= $
Mounting Bracket $25.00 each
Webbing Sling $18.50 each
Stainless Steel Swivel $19.50 each
0
1
2
3
4
5
= $
Courier: North Island $19.50
Courier: South Island $10.50
Enter International Post price below
Enter Total
$
Please print form and send with your cheque or money order to:
KOTUKU AOTEAROA
PO Box 3062
Waikuku Beach,
7448.
North Canterbury,
New Zealand (Aotearoa)
ph/fax 64 03 310 0278 mobile 027 303 9599
or e-mail
:
kotuku@nzswingseat.com
for direct credit details.
Please tag your direct credit payment as follows:
Particulars
: (S/Seat)
Code
: (Your Name)
Reference
: (Your phone number as appears on your order.)