You may make your purchase in any of 3 ways
 
Faxed Order Posted order Online Order


Faxed Order
Please 'click' your mouse on orderform.pdf, open the form and print it out, complete the form Including credit card details and fax it to 07 5462 5635.

Posted Order
Please 'click' your mouse on orderform.pdf, open the form and print it out, complete the form, enclose a cheque and post it to The Rotary Club of Gatton & Lockyer, PO Box 5, Gatton, Qld 4343.

Online Order
 Please complete the form below, including credit card details, click on the submit button and your order will be processed as soon as possible.

The Total Price of your Order is calculated as $  Including GST
All Prices Include 10% GST
Service Offered Enter Your Rotary Club's Name Value Select
Host Your Domain Name www..rotaryclub.asn.au $44.00
Service Offered Select Your Rotary Club's Web Page Design Value Select
Choose a Web Site Design  Web Site Design # From "Design Options" $55.00
Use Your Existing Web Page Design

No Thanks - We have our own Web Pages and will email them to you 

Provide Domain Redirection
(including FREE cloaking)		 No Thanks - Please redirect our new domain name to our existing web pages at
Provide FTP Access

Please Provide FTP access to our web site (We will maintain our own web pages).
** If any Rotarian wishes their new email address not to be directed to their existing email address
please enter "Please Provide" in the "Redirect to Existing Email Address" field.
Service Offered Free Email Addresses
@rotaryclub.asn.au		 Provide the Existing Email Addresses
 for email to arrive at		 Select
Email Address #1
@rotaryclub.asn.au
Email Address #2
@rotaryclub.asn.au
Email Address #3
@rotaryclub.asn.au
Email Address #4
@rotaryclub.asn.au
Email Address #5
@rotaryclub.asn.au
Email Address #6
@rotaryclub.asn.au
Email Address #7
@rotaryclub.asn.au
Email Address #8
@rotaryclub.asn.au
Email Address #9
@rotaryclub.asn.au
Email Address #10
@rotaryclub.asn.au
Rotary Club
District
Contact Name:
Address:
State:
Postcode:
Telephone:
Fax:
Email Address
Payment Method:
Name on Card:
Card Number:
Expiry Date: month:year:

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