Apis Skin Care Cream Ltd & Mail Order Form
Fax Number: +64 3 377 4145

To place your order please complete the following details and print this page out
- Then fax this page to the above number.
Alternatively the form could be mailed to the following address.
Apis Skin Care Cream Ltd
PO Box 13867
Christchurch 8001
New Zealand

Product Information
Description
Price per Unit
Quantity
Total Price
Natural Apis Mellifera Skin Care Cream.
Weight: 45gm
24.95
Postage & Handling
US$ 4.95
Order total
US$
Shipping Information
Name
Address
City
State
Zip
Country Email
Billing Information:

Credit Card:

Card Expiry M Y 		Card #
Card Holder Name & Address
Name
Address3
Address1 Address4
Address2 Address5
Please allow 7 - 9 working days for your order to be processed.
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