Sexy Toy Box Australia Mail/Fax Order Form

Sexy Toy Box Australia
A.B.N.: 60668106525
P.O. Box 5519
Canning Vale South 6155
WA, Australia

Please fill out your details below in full to aid us in ensuring fast and efficient delivery.  We respect your privacy (for more information, see below), and all items will be labeled with the return address of STBA Retail, with our P.O. Box as listed above. You may complete your order online if you wish. Please list the *full* name of products to avoid confusion. Orders will not be sent until payment is received and cleared. Please note that orders cannot be sent overseas.

Name of Recipient:

Date of Birth:

Delivery Address:

Delivery Suburb:

Postcode:

State:

E-mail address or phone number:

Product/s Required:                                                                                     Price
(1)                                                                                                               $
(2)                                                                                                               $
(3)                                                                                                               $
(4)                                                                                                               $
(5)                                                                                                               $

Total Price ($)

I, ____________________ (signature) hereby declare that I am legally entitled to purchase adult products

At Sexy Toy Box, we respect your privacy. For our full privacy policy, terms and conditions, and disclaimers please visit www.sexytoybox.com.au/webcontent2.htm. By placing an order with us you are agreeing that you have read, and shall be bound by, the conditions outlined at the aforementioned URL. Furthermore, you agree to accept full financial liability for any losses incurred by Sexy Toy Box Australia as the result of your cheque (if applicable) bouncing or being otherwise rejected. No G.S.T. will be charged on this order unless stated. 2007 Sexy Toy Box Australia. No part of this document, or any other part of our site, may be reproduced without our explicit written permission.