EmailMeForm
Face Mask Order Form
Name
*
First
Last
Phone
###
-
###
-
####
Postal Address
*
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
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United Republic of Tanzania
Togo
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Zambia
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Country / Region
Email
*
Choose your mask combination: Please enter 'Kids' in the comment box if you want under 10yo size. Or request a combination not listed.
*
Magpie & Protea/Spinebill & Grevillea
Magpie & Protea/Wattle Blossom
Magpie & Protea/Pink Gum Leaves
Magpie & Protea/Black
Spinebill & Grevillea/ Pink Gum Leaves
Spinebill & Grevillea/Wattle Blossom
Spinebill & Grevillea/Navy
Pink Gum Leaves/Wattle Blossom
Pink Gum Leaves/Australiana
Pink Gum Leaves/White
Australiana/Australiana
Australiana/Navy
Australiana/White
Day of the Dead/Black
Black/Navy
Payment method (tick one of the options):
*
Credit Card (email address required)
PayPal
Electronic Funds Transfer
PayID
Credit Card payments will be processed through my PayPal account for security. You will receive an email with a link to follow.
I will contact you with bank account details for EFT.
Any comments or requests
Privacy policy
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Yes, I want to be notified of future Jane Stoddart product news
No, I don't want to be notified of future Jane Stoddart product news
Your information will only be used for the purposes of administering orders.
Refund policy
*
Yes, I agree to the terms of the Refund Policy.
Refunds will be given for masks returned in new and unworn condition in original packaging that are received within 30 days of order date.
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