Pedometer Order Form

1. Minimum order: 4 sets (each set is 30 pedometers).
2. Cost: each set costs $295 (excl. GST) + Postage and handling.
3. Deadline: please place your order by COB Monday 22 August 2016.
"Number of sets required" is a mandatory field
"Number of sets required" must be a number.
"Name of organisation" is a mandatory field
"Contact name" is a mandatory field
"Title" is a mandatory field
"Phone" is a mandatory field
"Phone" must be a number.
"Email" is a mandatory field
"Email" must be a valid email address.
"Postal address" is a mandatory field