RETAIL MAIL ORDER FORM

Box 107, St Andrews 3761 AUSTRALIA

Fax & Phone (61) 3 9710 1644

SEND ORDERS TO Email: >

or Fax (61) 3 9710 1644

WEB SITE www.greenhemp.com

CODE / PRODUCT / SIZE / SCENT / Quantity / PRICE / TOTAL
GC1 / Face Cream / 60ml / $20
GC5 / Body Wash with pump / 250ml / Orange / $16
GC5R / Body Wash Refill / 250ml / Orange / $15
GC2 / Shampoo / 250ml / $12
GC3 / Conditioner / 250ml / $12
GC2D / Shampoo / 500ml / $22
GC3D / Conditioner / 500ml / $22
GC2C / Shampoo Bulk / 1 Lt / Sold out / $40
GC3C / Conditioner Bulk / 1 Lt / $40
GC4 /
Healing Balm
/ 100ml / Unscented / $19
GC20A / Soap / 100gm / Lemongrass / $3.50
GC20B / Soap / 100gm / Unscented / $3.50
GC20C / Soap / 100gm / Lavender / $3.50
GC21 / Massage Oil / 200ml / Unscented / $14
GC21A / Massage Oil / 1 Lt / Unscented / $36
GC22C / HempSeed Oil * food grade / 200ml / 100% PURE / $20
GC22D / HempSeed Oil * food grade / 500ml / 100% PURE / $45
GC22A / HempSeed Oil * food grade / 1 Lt / 100% PURE / $69
GC25L / Lotion / 200ml / Lemongrass / $15
GC25N / Lotion / 200ml / Unscented / $15
GC25V / Lotion / 200ml / Lavender / $15
GC25Z / Pump lid for lotion / $2
GC27 / Lip Balm / 15ml / Nat / Vanilla / $9

Up to 500gm anywhere in Australia $9.00

Plus Postage
See guide at left
/ $
Total / $

Up to 3kg anywhere in Australia $15.00

Up to 5kg anywhere in Australia $19

Up to 20kg in Metro Melbourne $11.00

International orders sent by Airmail .

Please submit order to G.R.E.E.N. for advice on other postage costs.

YOUR NAME: Date / / 2015
DELIVERY ADDRESS:
TOWN / CITY: STATE: POST CODE:
PHONE NUMBER: FAX:
EMAIL ADDRESS:
PAYMENT BY: DIRECT DEPOSIT CHEQUE VISA MASTERCARD
Direct deposit details
G.R.E.E.N HEMP AUST PTY LTD BSB 633 000 A/C No 1258 56823 Bendigo Bank
CREDIT CARD NO:
EXPIRY DATE: 3 DIGIT SECURITY CODE:
NAME ON CARD:

* Please Note … Pure hemp seed oil is Food Grade but the Aust Government has not yet passed legislation for human internal consumption.