Midwest Direct Pets, midwestdirect, Pet Homes Australia. Dogs and Cats Homes. Canine Campers. Cat Playpens. Quiet Time Pets. Snooza Australia.
Birdcages, Canine Camper, Cat Playpens and Crate Training. Exercise Pens, Ferret Playpens, Grooming Tables & Accessories. Handy Doody, K9 Kennels, Life Stages, Pet Barriers and Quiet Time Pet Beds. Wabbitat, Midwest Direct Australia.
Print this Order Form, Mail or Fax it to us.
FAX directly to us on 08 82831443 or POST to PO BOX 946 North Adelaide SA 5006
Mail Order Post to:
PO BOX 946 North Adelaide SA 5006
Enquiries: (08) 8281 1888
Fax: (08) 8283 1443
Email: sales@midwestdirect.com.au
MIDWEST DIRECT ORDER FORM
Model No. Title Qty Price
       
       
       
       
       
       
       
Refer to web site for delivery charges.
 Sub Total  
Delivery  
Total  
SHIPPING DETAILS
Name
Street
Suburb State P/C
Daytime Phone Mobile  
 
BUYERS DETAILS (if different to SHIPPING DETAILS)
Name
Street
Suburb State P/C
Daytime Phone Mobile  
PAYMENT DETAILS
PAYING BY: CREDIT CARD CHEQUE DIRECT DEPOSIT MONEY ORDER EPOS

Direct Deposit Note:
Place your, NAME & SURNAME as a REFERENCE.
Once the deposit has been processed, please notify Midwest Direct on sales@midwestdirect.com.au

Direct Payments, can be made into:
BSB NO: 105 056
ACCOUNT NUMBER: 099 643 240
PLEASE DEBIT MY: EFTPOS BANKCARD MASTERCARD VISA DINERS AMEX
VALID DATE:
AUTHORISED SIGNATURE :
AUTHORISED SIGNATURE IS THE LAST 3 NUMBERS LOCATED ON THE BACK OF YOU CARD

CARDHOLDER'S NAME:
DRIVERS LICENCE:
NUMBER:
EXPIRY DATE:
CARD NUMBER
       

SIGNATURE
I/ We Agree to have read and agree to one of the following freight Arraignments

This is in relation to the freight for your products this consent gives us your permission to ship with the freight company of our choosing and that unless you have advised us otherwise, on this area you give the driver your permission to leave your products at your door if no one is present to sign for the products.
Midwest Direct takes no responsibility of any loss and or damages associated with the transportation or delivery of all products.

Thank you for shopping at Midwest Direct, we trust that your much loved family member will just love their new gift/s. We look forward to your stopping back in the new future .

Thank you again from all of us at Midwest Direct, take care