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
Nutrition and Dietetics Science Order form
Name:
Email:
Mobile:
Address:
_________________________________________
_________________________________________
_________________________________________
_________________________________________
_________________________________________
Free Delivery is available to the following campus outlets (please circle one):
Mini Mart Wagga – Mini Mart Bathurst – Gums Cafe Albury - Banjo’s Cafe Orange
Item
Short Sleeve Shirt
Colour
Please Circle
Blue
Mens/Ladies
Size
Qty
Unit Cost
$48.75
Ladies Short Sleeve Shirt
Mid Blue
$38.60
Mens Short Sleeve Shirt
Sky Blue
$37.40
Mens Short Sleeve Shirt
Mid Blue
$37.40
Mens/Ladies
Total Cost
Pants
Navy
$55.00
Ladies Skirt (Knee Length)
Navy
Microfleece vest
Navy
Unisex reversible vest
Navy
Knitted Vest
Navy
Ladies 2 way zip cardigan
Navy
$72.70
Unisex Rugby Jumper
Navy
$39.95
Soft shell jacket
Navy
$48.20
Mens/Ladies
$29.80
$39.85
Mens/Ladies
Mens/Ladies
$49.75
$81.00
Delivery to Campus Outlet (options above)
Free
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_____________________
Date Customer Quoted_____________________
Date Staff Ordered
_____________________
Order Number
_____________________
Customer Delivery Date
______________________
Confirmation email
_____________________
Delivery Email
______________________
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: ________________________________________________