ORDER FORM

ORDER FORM: Select the items required, print off this form, then post your order to: Diabetes Christchurch Inc, PO Box 2527, Christchurch, New Zealand.

Name
Title
Company
Address
E-mail
Phone
Fax

Please send me the following products. My cheque is enclosed.

	DESCRIPTION OF PRODUCT	COST	QUANTITY	SUBTOTAL	TOTAL
1.	BARNABY BEE	NZ $12.00			$
2.	BARNABY JUNIOR "BJ"	NZ $6.00			$
3.	BUNGY SPRING	NZ $2.50			$
4.	BARNABY BEE EAR-RINGS	NZ $12.00			$
5.	BB MAGNETIC BUTTONS	NZ $5.00			$
6.	BARNABY BEE LAPEL PIN	NZ $4.00			$
7.	BARNABY CHOCOLATES	NZ $1.00	x10		$
8.	"BEE AWARE" COOKBOOK	NZ $12.00			$
9.	"BEE AWARE" PEN	NZ $1.00			$
10.	"BEE AWARE" CROSS-STITCH	NZ $10.00			$

	POSTAGE/WEIGHT ~ SEE COSTS BELOW				$
	TOTAL COST				$

POSTAGE RATES: NEW ZEALAND: Postage includes Bubble Bag: NZ$5.00 INTERNATIONAL: Postage includes Bubble Bag: NZ$10.00

If you have any queries please fax your order first and then we will provide a quote for your product cost plus postage cost equalling the total cost for your order.

DIABETES CHRISTCHURCH INCORPORATED

ADDRESSES:

TELEPHONE/FAX:

ADDRESSES:

Ground Floor, 550 Hagley Avenue, Christchurch.

PO Box 2527, Christchurch,

South Island, New Zealand.

Phone 64 3 378-6266

Fax 64 3 378-6196

info@barnabybee.com

sales@barnabybee.com

lynne.taylor@cdhb.govt.nz