GLOVES IN A BOTTLE
ORDER FORM
Yes! I want to protect my hands from a wide range of household and commercial cleaning products, chemicals, solvents, grease, oil, dirt and grime, while moisturising my skin at the same time.

You are covered by our 30 day, 100% Complete Satisfaction "Money Back Guarantee".

Please accept my order for Gloves in A Bottle:
Gloves in A Bottle (NZ$)
 Quanity Ordered Total Cost
240ml Bottle @ $25.55ea (incl.GST)
With pump dispenser plus $1.00. Please tick		    
Wall Dispenser @ $67.50 ea (incl. GST)    
1 Litre Refill Pouch @ $92.00 ea (incl.GST)    
3.875 Litre bottle @$327.00 (incl.GST)    
Postage and packing
(AKL from $3.50) / (Other from $5.00)		    
Total Cost - payment enclosed    
 
Please select method of payment (Please do not send cash through the post)
Credit card Cheque Postal Order
Please debit my Visa Card / Master Card
Name on Credit Card:
Card No:
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Delivery Address (please print clearly):
 
Signature:
Date: Email:
 
Please allow 7 days for the processing and delivery of your order. Pro-derm NZ Ltd cannot accept responsibility for orders or misplaced or lost in the postal system. Please make cheques payable to: Pro-derm NZ Ltd

Mail your Order to:


PO Box 84-232
Westgate,
Waitakere 0657
Auckland

Email us at ianp@pro-derm.co.nz or orders@pro-derm.co.nz.

Call us toll free on 0800 277 633(NZL), 1800 304 728(AUS).
 
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