Order Form

Thank you for ordering from Crossways Wool & Fabrics!

Please enter the required information below.

*As this is not a secure site, entering your credit card details on the form is at your own risk!

Alternatively email your order details to sales@woolshop.com.au
or send a cheque or money order to Shop15/180 Rokeby Rd Subiaco Western Australia 6008.

Phone Western Australia: (08) 9381 4286

Name*

Title

Street address

Address (cont.)

City

State/Province

Zip/Postal code

Country

Work Phone

FAX

E-mail*

* Mandatory Fields

Please provide the following ordering information!

QTY DESCRIPTION
PRICE

Sub Total

Freight Charges. (Post & Packing)

Please add 22% of TOTAL GOODS
ORDERED IN THE COLUMN ON THE RIGHT.
This will cover ALL shipping costs.

TOTAL $AUD:

Please remember, all prices are shown in Australian Dollars. Our ABN number is: 53 553 816 168

BILLING

Payment by
Cheque/Money Order or Credit Card

Credit card
<>

Cardholder name*

Card number*

Expiration date*

SHIPPING

Street address*

Address (cont.)

City*

State/Province*

Zip/Postal code*

Country*

* Mandatory Fields

Name*
Title
Street address
Address (cont.)
City
State/Province
Zip/Postal code
Country
Work Phone
FAX
E-mail*
*	Mandatory Fields

QTY	DESCRIPTION	PRICE
















	*Sub Total*
	Freight Charges. (Post & Packing) Please add 22% of TOTAL GOODS ORDERED IN THE COLUMN ON THE RIGHT. This will cover ALL shipping costs.
	TOTAL $AUD:


	BILLING
Payment by	Cheque/Money Order or Credit Card
Credit card	<>
Cardholder name*
Card number*
Expiration date*

	SHIPPING
Street address*
Address (cont.)
City*
State/Province*
Zip/Postal code*
Country*
*	Mandatory Fields