amitié textiles abn 63 230 784 514 103a Gardenvale Rd, Gardenvale Victoria Australia 3185 Phone +61 3 9596 7225 Fax +61 3 9596 7229 Email
[email protected] Web amitie.com.au Blog http://amitietextiles.blogspot.com or http://amitiegirl.blogspot.com
I wish to enroll in the
STASH CLUB
amitiè Stash Club.
I acknowledge and agree to the followings terms:
16 x 25cm squares of new release fabrics in each mail out Fabrics will be sent 6 times a year ( Feb, Apr, Jun, Aug, Oct & Dec ) Price per mail out (includes GST & postage): $31 within Australia $34 for international Fabric selection is at the discretion of amitié You can choose to cancel your subscription at any time prior to the next mail out I wish to being included in amitié’s email list (please circle) yes no
I authorise amitié to charge my credit card prior to each mail out.
Signed:__________________________________________ Date:
Please complete the details below and email, fax, post or deliver this form to amitié. You can also join by calling the store.
Customer’s Details: Name: ____________________________________________________________________________ Address: ___________________________________________________________________________ State________________ _______Country __________________________Post Code: _____________ Phone: Country Code _________Area Code _________________Number _______________________ E-mail: _____________________________________________________________________________ VISA / MASTERCARD (Only) Credit Card: _____________ Card Expiry: Office Use: Membership #
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__________ / ____________ Date Received
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Date Cancelled
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Accepted By: