Amitie Textiles | Thread Club Sign-Up

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.*