Order Form - Product Enquiry
Title* Select Mr Mrs Ms First name* Surname*
Delivery Address
Street Town State Select QLD NSW VIC TAS SA WA ACT NT Post Code
E-Mail Address* Phone*
Order
MUMA Type: Small : $62 0 1 2 3 4 5 6 7 8 9 10 Medium : $70 0 1 2 3 4 5 6 7 8 9 10 Large : $78 0 1 2 3 4 5 6 7 8 9 10
Bed Attachment Strap: Single $6.95 0 1 2 3 4 5 6 7 8 9 10 Colour Navy Blue Black Rich Red Double $7.95 0 1 2 3 4 5 6 7 8 9 10 Colour Navy Blue Black Rich Red Queen $7.95 0 1 2 3 4 5 6 7 8 9 10 Colour Navy Blue Black Rich Red
Demonstration DVD : $5 0 1
Postage & Handling : QLD Choose One 1-2 Mumas $10.95 3-4 Mumas $14.95 5-10 Mumas contact company for quote Other States: Choose One 1-2 Muma $12.95 3-4 Mumas $16.95 5-10 Mumas $20.50
Note: All MUMA's now available without the rubber backing at $5.00 less then the above prices.
Method of Payment : Please tick one of the boxes
Credit Card
For secure online Credit Card payments please 'click' in the following PAYPAL Buy Now button. You do not need a PayPal account to use this method.
Direct Deposit
Name: Medi-MUMA
Bank: Wide Bay Australia
BSB No. 656-400
Account No. 105624667
Cheque/Money Order
Payable to: Medi-MUMA
Address: 201 Eumarella Road, Weyba Downs, QLD 4562
Enquiry
Helene & Paul Peterson Phone: 0402 447 989 Email: p_h_peterson@aapt.net.au
Price About Us Product Home
Medi-MUMA
Note: Please tick box to indicate you have selected the right cost of Postage & Handling to your State.