CSU Online Shop
Building 460 Valder Way
Charles Sturt University
Wagga Wagga NSW 2678
Tel: +61 2 6933 4980
Email: [email protected]
www.csu.edu.au/online-shop
School of Psychology Order form
Name:
Email:
____________________________________
____________________________________
Mobile:
_________________________________________
Address:
_________________________________________
_________________________________________
All items embroidered with CSU logo on LHS and PSYCHOLOGY with campus name on RHS
Please circle Campus for Embroidery
BATHURST
Item
Psychology
PORT MACQUARIE
Colour
Size
WAGGA WAGGA
Qty
Unit Cost
Royal Blue/White
$35.00
Navy
$50.00
Red
$50.00
Total Cost
Polo
Psychology
Hoodie
Psychology
Hoodie
Postage and handling for under 5 items
$10.00
For orders over 5 items, and for International Postage, a quote will be provided.
TBC
Total
Office Use Only
Date Order Received
_____________________
Received By Staff Member_____________________
Confirmation Email
_____________________
Customer Delivery Date
_____________________
Order Number
_____________________
Delivery Email
_____________________
Date Staff Ordered__________________________
Tracking Number
______________________
CSU Online Shop
Building 460 Valder Way
Charles Sturt University
Wagga Wagga NSW 2678
Tel: +61 2 6933 4980
Email: [email protected]
www.csu.edu.au/online-shop
CREDIT CARD PAYMENT AUTHORITY
To:
CSU Online Shop
Building 460
Valder Way
Charles Sturt University
Wagga Wagga NSW 2678
Name: ____________________________________________________________________
Address:____________________________________________________________________
_____________________________________________________________________________________________________
Mobile No/Email: ___________________________________________________________

Mastercard
Amount

Visacard
$
Expiry date
 / 
Card Number (all boxes must be completed)
   

Card Check Value (3 digits on back of card)
Card Holders Printed Name: _____________________________________________
Card Holders Signature: ________________________________________________