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Thread Club
Name (First Last)*
Street Address (i.e. 87 Beach Road)*
State (i.e. VIC)*
Post Code (ie. 3228)*
Country (i.e. Australia)*
Phone Number (With Country Code, i.e. +614 18 522 124)*
Email (i.e. amitie@amitie.com.au)*
Credit Card Number (VISA / MASTERCARD ONLY)*
Card Expiry (mm/yy)*
CVV (3-digits on back of card)*
I understand this is a 12-month program.*
I understand amitie reserves the right increase charges if shipping and thread costs increase.*
I authorise amitie to charge my credit card prior to each mail out.*
Repeat Email Address