Point of Relief - Order Request Form
After you fill out this order request, we will contact you to confirm the order and supply an invoice.
Please contact us on 0414 633 837 or at
if you have any questions.
Are you a new or existing customer?
I am a new customer
I am an existing customer
How many Points of Relief would you like to order?
6 Points at $22.5 each
12 Points at $20 each
24 Points at $17.5 each
Colours: Red, Purple, Green, Yellow, Pink and Blue
Colour Option - If you'd like a different colour breakdown than the same of each colour, please instruct below
Clinic Name and Address for delivery
Preferred contact method
Questions and comments
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