World's Teacher Day Online Form

Name of Person Ordering *

Position *

Company Name *

Postal Address 1 *

Postal Address 2

City *

State * P/code *

Purchase Order No.

( if applicable )

Phone *

(please leave no spaces)

Fax

Email *

Badges

* Qty Required

Message A

Teachers make a world of difference!

Message B

Teaching is not a profession. It's a passion

Message C

Teachers change the world one child at a time

Message D

Working together for student success

Message E

Teachers plant the seeds that grow forever

Message F

Dream & Believe, Learn & Achieve

Message G

Teachers inspire the dreams of tomorrow

Message H

Strong partnerships build great schools

Message I

We dream, believe & achieve... together

Total Number of Badges Ordered

Cost Per Badge - excludes GST $2.95

Total Cost of Badges excludes GST ($)

Discount (if applicable) ($)

Discounts are available (of the Total Cost of Badges) :

1 - 99 :- 0%
100 - 149 :- 10%
150 - 199 :- 15%
200 - 249 :- 20%
250 - more :- 25%

Postage excludes GST ($)

Postage excludes GST

- $ 6.50 for orders of 20 badges or less
- $ 12.50 for orders of 21 - 100 badges
- $ 18.50 for orders of 101 badges or more

Total Cost ( Excludes GST ) ($) Total Cost of Badges
less any Discount, plus Postage

GST( 10% of Total Cost ) ($)

Total Cost Payable( including GST ) ($)

A 55mm sticker of each badge ordered will be included at no extra cost!

Enter The captcha: *

Credit Card ( no surcharge will be added )

Payment Type

Visa

Mastercard

Amount

Name on card

Card Number

Expiry Date

CVC

Printed on your MasterCard & Visa cards in the signature area of the back of the card.

Bank Transfer

BSB No ........... 034 - 212 Account No ........... 307210 Account Name ... DJ Creations Bank ........... Westpac

Please quote your order No as your reference

Pay Later

Payment can be made after you receive your badges.
A Tax Invoice will be forwarded with your badges and payments within 7 day is appreciated.

A Tax Invoice / Receipt will be forwarded when you receive your badges

Thank You for your support

PLEASE NOTE You will receive an email confirmaion of you order if it has been successflly submitted. (Don't forget to check your spam or junk folder) if you don't receive this mail, please try again or contact DJ Creations. Thank you.