Folding Walking Cane Selection & Quantity

Folding Walking Cane Order Form
Roland Priestley Mobility Centre Sydney

www.rolandpriestley.com.au
Please select item box first and then quantity/options *
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Standard Folding Walking Cane$20.00AUD

QuantitySelect Colour

Drive Folding Cane with Gel Grip Handle$35.00AUD

Select ColourQuantity

Floral Folding Walking Cane$29.50AUD

QuantitySelect Colour/Style

Go & Glow Folding Cane$32.00AUD

Select ColourQuantity

Carbon Fibre Folding Cane$79.00AUD

Select Short Or Regular LengthQuantity

Alpha Folding Coloured Cane $30.00AUD

QuantityColour & Cane Length

Cane Holder Frog (Option)$9.00AUD

Quantity

Reflective Walking Cane Holder (Option)$19.95AUD

Quantity

Rollator Cane Holder (Option)$15.00AUD

Quantity

Rollator Cane Holder Extended Reach (Option) $20.00AUD

Quantity

Folding Cane Nylon Carry Pouch with Zip (Option)$12.00AUD

Quantity

Switch Stick Drawstring Bag (Option)$20.00AUD

Quantity

Walking Cane Wrist Strap (Option)$9.00AUD

Quantity

Subtotal $0.00AUDShipping $0.00AUDTotal $0.00AUD
OPTIONS

There is no additional postage cost when ordering an option on this form. Options MUST be ordered with a walking cane when using this form, any option ordered using this form without a folding cane will result in money being refunded.

Please be advised the Drive Gel Grip folding cane only does not fit the Zippered Bag due to the size of the handle. We would recommend the Switch Stick Bag as its slighly bigger and will fit the Drive Cane Gel Cane.
STEP 1: Please select item/s and colour/style choice and any options above. The total amount will appear below.

STEP 2: Please fill in phone number below

Step 3: Click submit after Step 1 and Step 2 have been completed

After selecting your item and options, click or tap the submit button to be taken though to the payment system by Paypal, you do not need to join or belong to PayPal to pay by credit/debit card.
PHONE NUMBER*
Include Area Code
OPTIONAL DELIVERY INSTRUCTIONS

Some delivery services include signature delivery, this option is usually chosen as someone needs to sign for the delivery, If you are not at home a calling card will be left for you to contact the delivery company to make alternate arrangements.

However if you give safe delivery instructions below then the signature option will not be chosen and your instructions will be written on the parcel.Roland Priestley Mobility does not take any responsibility for parcels that go missing after delivery if this option is chosen.
Optional instructions for leaving parcel if no one is home
For Example: Leave on chair next to front door if no one is home.
Should be Empty:

Folding Walking Cane Order Form

Roland Priestley Mobility Centre Sydney