This is my Selection so far:

I have selected: items costing a total of

I want my selection to be reserved for me (obligation free) and I want :-
to visit the shop to personally inspect my selection.

or

an emailed cost estimate ASAP for Delivery of my selection

Please book the following Date and Time for my obligation-free visit :- (but please don't ask us to work on Sundays or Public holidays)
at:

First Name:

Last Name:

Your email address:

Contact phone number:

Your comments:

Payment

A variety of different payment methods are accepted. These include:

Cash and/or credit/debit cards (Mastercard, Visa or American Express) via our in-store FPOS terminal
Direct Deposit or Direct Debit Transfer into our ANZ Bank Account - BSB 013-497 Accnt No. 2879-71479
Money Orders
Personal Cheques (Must be cleared before items are handed over) and
Bank Cheques - crossed NOT NEGOTIABLE and made payable to Kosnar's Picture Framing and Mirrors Shop