Merchandise Order Form

Merchandise Order Form
Order Date

MonthDayYear
Date
Customer Name

First NameLast Name
Email
example@example.com
Phone Number

Area CodePhone Number
Shipping Address

Street Address

Street Address Line 2

CityState

Postcode
Place your order here
prevnext( X )
Mug 1
Scleroderma Blue Warrior Mug                                                             $20 per mug plus $12 postage

$32.00AUD Quantity
Item subtotal:$0.00AUD



Mug 2
Scleroderma Yellow Warrior Mug                                                                           $20 per mug plus $12 postage

$32.00AUD Quantity
Item subtotal:$0.00AUD



Mug 3
Scleroderma "Hard Word, Harder Disease" Mug                                            $20 per mug plus $12 postage

$32.00AUD Quantity
Item subtotal:$0.00AUD



Mug 4
Scleroderma "Scaryderma" Lion Mug                                                           $20 per mug plus $12 postage

$32.00AUD Quantity
Item subtotal:$0.00AUD



Mug 5
Scleroderma "Scaryderma" Cat Mug                                                          $20 per mug plus $12 postage

$32.00AUD Quantity



Mug 6
Scleroderma Green Warrior Mug                                                                                                                                                  $20 per mug plus $12 postage

$32.00AUD Quantity



Magnetic Sunflower Pin
$5 per pin plus $2 postage

$7.00AUD Quantity
Item subtotal:$0.00AUD



Don't Be Shy T-shirt
$30 per T-shirt plus $12 postage

$42.00AUD QuantitySize
Item subtotal:$0.00AUD



White Polo T-shirt
$25 per T-shirt plus $12 postage

$37.00AUD QuantitySize
Item subtotal:$0.00AUD



Queensland Scleroderma Tote Bag
$10 per tote plus $5 postage

$15.00AUD Quantity
Item subtotal:$0.00AUD



Small sticker
$5 per sticker plus $2 postage

$7.00AUD Quantity
Item subtotal:$0.00AUD



Large Sticker
$10 per sticker plus $5 postage

$15.00AUD Quantity
Item subtotal:$0.00AUD



Subtotal

$0.00AUD

Tax

$0.00AUD

Shipping

$0.00AUD

Total

$0.00AUD
Payment Method
Special instructions
FacebookInstagramYouTubeInternet SearchReferralOther
Reminders
PROCESS: Order made will be processed within 3-5 business days. Autoresponder email will be sent to the customer after filling up the form that contains instructions and more information.

RETURN POLICY: Orders on products can be returned within 30 days of purchase. A full refund will be processed. However, it will be subject to review if there are any physical damage, water damage, leakage, and similar cases.

PAYMENT METHOD: Payment method must be indicated on every order submission. We accept cash, credit cards, cheques and electronic fund transfer.
Should be Empty:

Merchandise Order Form

Reminders