Please Deliver to:
           
           
            Your Name Your Company 
Your     Delivery Address
 (include your country, if not New Zealand)
Your email address Your phone number
           
           
           
            Your Questions, Comments or Delivery Instructions:
           
           
           
            
                  
           
           
            
            
            Please fill out each box below with your order information
EPI Code: Description: Number wanted: Unit Cost: Sub Total Cost 
EPI Code: Description: Number wanted: Unit Cost: Sub Total Cost 
EPI Code: Description: Number wanted: Unit Cost: Sub Total Cost 
EPI Code: Description: Number wanted: Unit Cost: Sub Total Cost 
EPI Code: Description: Number wanted: Unit Cost: Sub Total Cost 

Note. Order is freight free within New Zealand if the above product value is more than $200 plus GST to main centres within New Zealand. If the order is less than $200 there is a minimum charge of $10 for South Island delivery and $15 for North Island. Depending on the product ordered freight maybe more. See Freight and Delivery. If the above order is less than $200 add your freight figure below:

Plus Freight (if relevant): 
Subtotal (order plus freight) = 
Plus GST 
(Multiply the subtotal figure by 0.125 or 0.15 on October 1 2010)                         

The Total Cost For Above We (you complete) estimate to be : (Add the above order up, then add freight if any, then add the GST Tax figure if the product is being sent within New Zealand, there is no GST on exported items)

Payment Method

Please invoice us at the following address:

Your order number (if relevant) :
Your Invoice Address (include your country, if not New Zealand)
Or by creditcard -

Visa Card Mastercard Card Number:
Expiry date on your card (month/year)

Thank you very much for your order, we really appreciate your business.