Champion Juicer secure server order form

Freight and handling throughout New Zealand included.

If you'd like to pay by cheque, print this form out, fill in the details and post to Champion Juicer New Zealand, PO Box 7268, Mid Avenue, Wanganui 4541. Please make cheques payable to "Tasman Trading Company Limited".

Name *

 

Address

Phone

Fax

Email address *

Please confirm your email address *

 

Champion Juicer - complete unit
@ $1298.50 each incl GST

White Black

Grain mill attachment
@ $375.50 each incl GST

 

Payment method

Credit card Cheque
 

Credit card type

 

Card number

Expiry date

Name on the card

 

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