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ORDER FORM

Simply print and complete this order form ensuring correct shipping costs have been added from the information shown on our How to Order page. If faxing or mailing please ensure you have included your credit card details. Please remember that International orders can only be accepted via Credit Card.

Once completed fax to: Within Australia (02) 94121809
Or mail to:

Bernina Chatswood 166 Victoria Avenue, Chatswood 2067 Australia.
(Please ensure you include a cheque, money order or credit card details)
Cheques and money orders are payable to Bernina Chatswood

Or Phone: Within Australia (02) 9411 7500

Mr/Mrs/Ms:________________________________________________________

Given Name:_______________________________________________________

Family Name:______________________________________________________

Postal Address:____________________________________________________

Suburb/City:______________________________________________________

State/Province/County:_____________________________________________

Postal/Zip code:___________________________________________________

Country:_________________________________________________________

Phone:__________________________________________________________

Fax:____________________________________________________________

Email:___________________________________________________________

What model machine do you have?___________________________________

 

Code Product Quantity Unit Price Total Price
         
         
         
         
         
         
         
         
         
         
Add Shipping:  
Total Cost:  

PAYMENT DETAILS

Enclosed is a cheque or money order for $__________

Please make payable to Bernina Chatswood

Or

__ Visa __ Mastercard __ Bankcard __ American Express

Card No: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

Expiry Date: _ _ / _ _

Signature:_________________________

Please add me to your email list to receive News Releases and Specials updates __Yes __ No

Thank you for your order.