Kangaroo Pacific Trading
Secure Online Order Form
(because this form is on a secure server,
it may take a little extra time to load)

This order form is located on a secure server connection. Any information you send through this form will be encrypted for security so that only you and Kangaroo Pacific Trading will have knowledge of the information sent. You will note the key or the golden lock at the bottom of your screen which tells you that this form is located in a secure environment.     Please complete all fields.

4 Ways For You To Order!
CALL or FAX this form PRINT & MAIL this form
PHONE: +61.3.63932011
FAX: +61.3.63932066

Kangaroo Pacific Trading
115 Bass Highway
Westbury
TASMANIA 7303
AUSTRALIA
OR SUBMIT THIS ORDER FORM ONLINE THROUGH OUR SECURE SERVER
All orders shipped within 48 hours of receipt via Air Parcel.
Please send an email to order@kangarootrading.com if you have problems with this form
            
SHIP TO:
First Name Last Name
Address
Address Line 2
City State/Province Zip/Postal
Country
In case there are problems/questions with your order, please provide the following contact information:
Day Phone # Evening Phone #
E-mail
How did you hear about the Kangaroo Pacific Trading website? Search Engine
Banner Advertisement
AFANA
T-Shirts! Around the Web.
The TeeFinder.com Search Engine
Yahoo!/Visa Shopping Guide
AFANA Bonus Offer
Other, please specify:
Number of Shirts
Shirt Title (style)
Size
Price
# of Sweatshirts
AFL SWEATSHIRT DESIGNS
Size
 Price
INTERNATIONAL SHIPPING VIA AIR PARCEL IS INCLUDED
 IN THE PRICE of the t-shirt in USDOLLARS ($24) Sweatshirts ($49USD)
or in AUSTRALIAN DOLLARS (A$24 T-Shirts) or (A$69 Sweatshirts) WHEN  SHIPPED  TO  AN  ADDRESS  WITHIN AUSTRALIA
TOTAL

AFANA BONUS T-SHIRT:
(you must purchase at least 2 shirts)
SIZE:


Payment Method		 Credit Card
Money Order
Telegraphic Transfer
Credit Card Type
Cardholder Name
Card Number Expiration Date
Billing Address
(as it appears on credit card statement)
City
State/Province              Zip/Postal Code
Country
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