| PLEASE SEND ME |
|
| The NFM Contraception Kit @ $175.00 |
$ 175.00 |
| Quantity |
|
| Sub-Total [if purchasing more than 1 Kit] |
|
| Postage and Handling [1 only charge for any quantity] |
$ 8.00 |
| TOTAL PAYMENT $NZD |
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| enclosed CHEQUE / MONEY ORDER or/ |
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| PAY by CREDIT CARD |
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| TYPE OF CARD [circle] | MasterCard / Visa |
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POST
TO:
or FAX TO [call
first]: (03) 960 4926
NFMKits
37 Norwood St.
Beckenham
Christchurch 8023
NZ
*Privacy Statement: your
details are only used to process this order,
and not given, sold or transfered in any way
to any other person or company for any purpose.