Balcatta, O’Connor & Cannington

Costume Booking Details

Following the sending of this form, you will be contacted during office hours to confirm the availability of the outfit(s) you have chosen and to arrange payment and pickup/delivery of the item(s). If you are paying manually, you will need to fax or mail us this receipt with your credit card details.

Billing
Name:
Email:   Phone:  
Address:   Suburb: 
Postcode:      State:       Country:
Pickup/delivery (dd/mm/yyyy):    Return*: (dd/mm/yyyy):
* weekend hires are due back the following Monday or Tuesday
  weekday hires are due back 2 days after the hire date
 
 Delivery     [As Above ]
 Name:
 Address::    Suburb:
 Postcode:      State:      Country:
 Note:
  Please remember my details
 Online Order Details
  Code Description Qty Unit GST Sub
Purchase Total: AUD0.00
AUD0.00
I have read and accept the terms and conditions
   
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