Agates Australia
your online shop for exclusive Agates from Agate Creek, Australia

FAX order form

please print this form and send FAX to (07) 4091 3285

or contact us by phone. (07) 40 958 559

Back to Home page - or use the back button to go to the page you came from.

Your Name

Your Address

Town

Postal Code

Your email

Contact phone No.

List numbers seperated by semicolon.

Small Agates Category 1 (AUD$ 15.00 ea) - Number(s)
Small Agates Category 2 (AUD$ 12.00 ea) - Number(s)
Small Agates Category 3 (AUD$  8.00 ea) - Number(s)

LargerSmall Agates Category 1 (AUD$ 20.00 ea) - Number(s)
LargerSmall Agates Category 2 (AUD$ 15.00 ea) - Number(s)
LargerSmall Agates Category 3 (AUD$ 12.00 ea) - Number(s)

add AUD$ 15.00 for shipping & handling
free shipping for orders over AUD$150.00