Kidsreach Resource Order

Kidsreach is an inter-denominational Christian organisation with a mission to train, resource, equip and encourage people who minister to children.

Kidsreach Resource Order Form
	Shipping Name and Address	Invoice Name & Address (if different to shipping)
Name	_______________________________________	_______________________________________
Address	_______________________________________	_______________________________________
	_______________________________________	_______________________________________
Post Code	_________________	_________________
Phone	_________________ Fax _________________	_________________ Fax _________________
Your Email	______________________________________________________________________________ Please send us your email address, its the fastest and cheapest way we have of keeping in touch


YOUR ORDER - Product Title	Number	Price	Extension
_________________________________________________________	_________	_________	____________
_________________________________________________________	_________	_________	____________
_________________________________________________________	_________	_________	____________
_________________________________________________________	_________	_________	____________
_________________________________________________________	_________	_________	____________
_________________________________________________________	_________	_________	____________
_________________________________________________________	_________	_________	____________


ORDER DETAIL AND VALUE	Order Number ________________________
Extend and record total value of order here - TOTAL A		____________
(NZ Only) Friends of Kidsreach Discount - Name of Member or Member ID __________________________		____________
(NZ Only) Subtract Friends of Kidsreach Discount - To Give TOTAL B		____________
New Zealand Packing and Freight - 10% of Total B (minimum $1.00, contact us if calculation is greater than $20.00)		____________
Australia Packing and Freight - 15% of Total B (minimum $1.50, maximum $10.00)		____________
TOTAL ORDER VALUE		____________


PAYMENT DETAILS	We can invoice you if you have an account with us. If this is the case, please tick here ______
Cheque Enclosed	_________
Credit Card Visa / Mastercard	Card Number __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __
	Cardholder Name ________________________________ Expiry Date ___ / ___
Your Signature	________________________ Date ____________


Print this order form in portrait mode, complete and Post or Fax to		KIDSREACH USE __________ Received __________ Packed By __________ Packing Slip No __________ Shipped Date __________ Invoice No __________ Invoiced By
Kidsreach New Zealand PO Box 305, Waikanae Phone & Fax 04 904 1217	Kidsreach Australia (& international orders) PO Box 265, North Richmond, NSW 2754, Australia Phone +61 (0)2 4571 4276 Fax +61 (0)2 4571 1789
YOUR PRIVACY - We'd like to keep in touch by keeping your detail in our database and sending information and promotional offers. If you'd prefer us not to, please tick here ____. Kidsreach will not divulge your details to any third party.