Character Couriers
PO Box 555,
CONCORD  SYDNEY  NSW AUSTRALIA 2137

ABN  80 522 786 642

"KiDz" Character  Couriers™  
Fax Request Form
There are TWO ways to order:
1. Pre-book completing the details below and Fax to:
  Fax: (61 2) 8765 1211           OR
2. Telephone: (61 2) 8765 1111  or  (61 2) 9736 3400
Email:  book@charactercouriers.com  

 

Please complete and forward this form by fax to Character Couriers and a representative will
contact you to confirm your booking & price.    * = required fields
Character Courier Service Details:
Character Type:
Occasion & Song: Age/Years:
Add an Extra Song:
Balloons:
Gift:
Add Another Gift:
Take Photos of the Recipient:  if 'YES' email pictures to:
Delivery Details:
* Delivery Date:

* Delivery Day: 
* Delivery Time:
OPTIONAL EXTRA:
After Choosing a Day and Time Frame above you can narrow the time frame here. Choose only one selection
Pay for Set Time:
to
Recipient's Details:
* Delivery Name:
* Co. / Venue Name: and 
* Delivery Address:
* Delivery Suburb: if a fee is not listed email
Booking Name at Restaurant: No. of People  Attending:  approx. only
* Contact:

* Mob. of Contact:  


Total Cost:
* Message on Card to Read:  (Up to 45 words only)

Inclusive of G.S.T.



Special Request Gift:

please select the type of gift you want us to source and deliver

The Type or Brand name
Notes:

Quantity

     S.R.Total:


Method of Payment Details:* = required fields

Grand Total on Credit Card: 

* Credit Card type: *Cardholder's Name  
as it appears on card
* Credit Card Number: * Expiration Date:
* Cardholder's address:
as it appears on your bill

City/Town/Suburb:
* State/Province:

*Zip/Post Code:
* Cardholder's Country
* Cardholder Telephone                 Phone No.
*Credit card verification number    If AMEX insert the 4 digit ID listed on the front of your card
If B/CARD, M/CARD or VISA insert 3 digit ID on reverse of card
I would like to pay on the above credit card:    The Full Cost Amount
   $95 Deposit - Then the remaining Balance paid as CashOnDelivery to the Performer
* You MUST SIGN

Signature: 
(Office Use Only) Authorization #
Orderer's Details:
* Order Name:

* Relationship to recipient's:
* Phone No:    Mobile No:
* Email Address: Fax No:
* Order Address:
* How did you find us?  If a Search   

Pick-Up Details		 Do we need to pick up a gift?  
If 'YES' Complete Questions 1 to 6 If 'NO' go straight to Orderer's Details
Gifts to be picked up in the same Suburb is FREE of Charge
1.  Business Name

2. Contact:
3.  Address:

4.  Suburb:
5.  Phone: 6. Operating Hours:  Must be within the delivery time range and day selected
1.  Now Just Print this form and fax it to: 61 2 8765 1211
2.  Or Cut and Paste and email it as an attachment to:  bookings@charactercouriers.com
3.  Or post it to: P.O Box 555 Concord 2137 NSW Australia

*All prices quoted are approximate and are subject to change.  A non-refundable deposit of $95.00 is required with each booking
**Terms & Conditions may apply depending on delivery situation

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Authored by: charactercouriers.com                                           Copyright 2006: Character Couriers