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Welcome to the Vana Shop
Order Form
Title
Mr
Mrs
Miss
Rev
Ps
Dr
Group
Name
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(Your order will be shipped to this location)
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Country*
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Phone (H)*
Phone (W)
Phone (Mobile)
Your E-mail Address*
How did you hear about Vana?*
-- Select One --
Through my local church
From a friend
Event
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Other
Available Sizes
8
10
12
14
16
18
Total Qty
Order Quantity shirts per size:
Order Value: AU$
Shipping charge: AU$
Australia delivery
AU$ 4.00 per shirt or $10.00 per order of 3 or more shirts.
Overseas delivery
AU$ 8.00 per shirt or $20.00 per order of 3 or more shirts.
Total Amount Due: AU$
My payment option*
I would like to use my credit card
**
I would like to make a direct deposit into VANA's Bank Account
**
I prefer to pay by cheque/money order and will mail it to
Vana Childcare Ministries Zimbabwe Inc.
PO Box 342
WOOMBYE QLD 4559
AUSTRALIA
If you would like your tax invoice to be written out to another name please indicate here.
**
If you have selected payment by Credit Card or Direct Deposit our office will contact you to complete this transaction. Thank you.