Piako Ostriches


 

 


 

Secure Order Form

Use this form to purchase items as an alternative to using the shopping cart or for Gift Vouchers.

Items required or value of Gift Voucher:
(Please note that gift vouchers must have a value of $25 or more and delivery charges will be deducted from the value of the voucher)

Recipient Name & Address:
Your Email Address:
Credit Card Details:
VISA:    MASTERCARD: 
Name On Card:
Card Number:
Card Expiry Date:
Month:    Year: 
Card Message for gift: .


NB:  Voucher/gift items selected and card with message will be

sent to the recipient as detailed above if this order is for a gift.

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Comments :
 
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