HALOGEN MERCHANDISE $3
MAZE PEN
$5
HALOGEN PIN
WRISTBAND
$3
IMAGINATION
IMAGINATION
PHONE CARD POCKET
TOTE BAG
$5 HALOGEN PEN
$8
$5 NEW!
NEW! With the introduction of new merchandise, you can now purchase the IMAGINATION show bag!
SHOW BAG CONTENTS: HALOGEN PIN HALOGEN PEN WRISTBAND PHONE CARD POCKET TOTE BAG
ORDER FORM
$20 PAYMENT OPTIONS
I would like to order:
NAME
PAY LATER
x Halogen pins @ $5 each x Halogen pens @ $5 each
Send me an invoice. I will pay later! SCHOOL
CREDIT CARD MasterCard
x Maze pens @ $3 each
ADDRESS
Visa
CARD NUMBER
x Wristbands @ $3 each x Phone card pockets @ $5 each x Tote bags @ $8 each x Show bags @ $20 each *All prices include GST Postage and Handling fees are 15% of the total price (Minimum $5 - maximum $20)
Halogen Australia
SUBURB EXPIRY DATE STATE
POSTCODE
CARDHOLDER’S NAME
PHONE
EMAIL
A | PO Box 1911 North Sydney NSW 2059
/
CARDHOLDER’S SIGNATURE
P | 02 9894 4561
F | 02 8211 5194
E |
[email protected] ABN | 22 085 015 407