This order form is for ordering Moon Pads, and/or Natural Fertility Kits and The Keeper
To order only the Keeper go to Keeper order form. Or to order only Natural Fertility Management Kits
To order Waterproof pads suitable for stress-incontinence or menstruation, go to Waterproof order form
To order Zappy Nappy products, Woollies and Bubba Luggas for babies and infants go to Zappy order form

PLEASE NOTE THIS IS NOT AN ONLINE ORDERING SITE.
PLEASE FILL IN THE ORDER FORM, THEN PRINT IT OUT AND MAIL TO US.
DO NOT USE THIS FORM TO ORDER VIA EMAIL - PLEASE SEND A *TEXT* ONLY MESSAGE.

Moon Pads® and Keeper Order Form

Your Name: Today's Date: //2008

Your Address: Town: State:

Postcode: Phone: (day); (eve)

Email:Please send me the Moon Pads eNewsletter Yes; No

I wish to pay using my credit card Visa; MasterCard; Cheque; Money Order; PayPal**

Card Number: + last three digits on reverse sideExpiry Date: /

Name on credit card: Signature: ___________________________

How did you hear about us?

Please indicate fabric preferences for Moon Pads: Bright patterns / Plain bright colours/Floral designs / Plain pastels . And my preferred colours are: 1. 2.

Print out this form then fill in remainder of order by hand. All prices are in Australian dollars.

No	Moon Pads Products	Cost per item	Total
	Everyday Panty shields	$5
	Panty liners	$8.80
	Regular pads	$9.90
	Super (Trifold) ­ with insert	$11
	Regular night pads	$13
	Super (Trifold) night pads ­ with insert	$15
	Pads for G-string: available as panty liner or regular thickness	$5 lin; $5.50 reg
	Moon Pads trial pack - 3 pads: 1 liner, 1 regular, 1 regular night	$29
	Moon Pads trial pack - 3 pads : 1 liner, 1 regular, 1 super	$27
	Young Woman's set: 2 liners, 3 regulars, 1 regular night & pouch. Option: extra regular pad or liner instead of night pad = $62	$65
	Regular set: 2 liners, 6 regulars, 2 regular nights & pouch	$100
	Super (Trifold) set: 4 supers (incl 4 inserts), 4 regulars, 2 regular nights & pouch. Option: Super night pads instead of Regular nights = $114	$110
	Insert (used in super pad or under other pads to boost absorbency)	$1.50
	Moon Pouch	$10
	Passion Mat (= 10 pads for calculation of postage) Indicate fabric choice: All cotton; or 'Satin' + cotton towelling	$15.95
	Calico shopping bags (Australia's first plastic bag free town - Coles Bay, Tas)	$4
Ask $ for larger orders	Postage and Handling: within Australia  $2 per pad, max $6.00 per 15 pads Postage and Handling: outside Australia  $4.00 per pad, max $12.00 per 15 pads		$6 or $12
	Keeper cup Please indicate size * : A;B *Keeper sizes: Style A: for women after vaginal childbirth and over 35yrs; Style B: for every other woman (incl Caesarian)	Cost: $55.00 (includes postage in Aust; Add $5 Overseas orders)
Ask $ for overseas postage	Natural Fertility Management Kits Please indicate intended use:Conception; Contraception	Cost: $150 (includes postage in Aust)

Total of your order including postage for pads: AUD$

All prices are in Australian dollars- to convert to other currencies go to: Currency Converter by OANDA.com, The Currency Site.

 

Payment by credit card, money order or cheque (on an Australian bank account only). Please make all cheques and money orders payable to Moon Pads and snail mail to: Moon Pads, PO Box 118, SANDY BAY, Tas 7006 Australia.
Do NOT email your credit card details to me as this is not a secure site. Information to order via phone or email

** To pay using PayPal first write me a *text* email with your details and details of the products you want (This form is *not* suitable to email as it loses all the info you add!). I will then invoice you by email and give you the link to make your payment.

Thank you for your order and for saving our planet!

Prices subject to change without notice. Allow 2 weeks for delivery of your order. Enquiries: <info@moonpads.com.au>

® MoonPads is the registered Trade Mark of Moon Pads ABN 47 602 059 395 <http://www.moonpads.com.au> Phone (03) 6223 5151