Barka Parka Online Order form

**Please do not submit your Credit card or account details via this form**
Submit your details and the items you wish to order. We will contact you by
phone within 24hours to confirm your order and to obtain your payment details.
Fields marked with * must be filled in.
PERSONAL DETAILS
First name:*
Last name:*
Email address:*

CONTACT DETAILS
Home Phone:*
Work phone:
Mobile:

BILLING ADDRESS
Address Line 1:*
Delivery address (if different):
Address Line 2:
City/suburb:*
State:*
Postcode:*
Country (if outside Australia):


ITEMS YOU WOULD LIKE TO ORDER
PET BED SETS: Use a new line to order different types of sets

Qty:
Type of set
Size
Top Colour
Side Colour
Piping Colour

SUPER SETS ONLY: (set with 2 slip-covers)

Select your colours for second Slip-cover   
I would like my bed:
Filled 
Unfilled (FIY)
Please note: Sizes 55, 58 & 58Plus can only
be sent as Unfilled sets to Country Victoria, Interstate and Overseas.

Qty:
Type of set
Size
Top Colour
Side Colour
Piping Colour

SUPER SETS ONLY: (set with 2 slip-covers)

Select your colours for second Slip-cover   
I would like my bed:
Filled
Unfilled (FIY)
Please note: Sizes 55, 58 & 58Plus can only
be sent as Unfilled sets to Country Victoria, Interstate and Overseas.

Qty:
Type of set
Size
Top Colour
Side Colour
Piping Colour

SUPER SETS ONLY: (set with 2 slip-covers)

Select your colours for second Slip-cover   
I would like my bed:
Filled
Unfilled (FIY)
Please note: Sizes 55, 58 & 58Plus can only
be sent as Unfilled sets to Country Victoria, Interstate and Overseas.

SPARE SLIP-COVERS:
Qty:
Type of cover
Size
Top Colour
Side Colour
Piping Colour
Qty:
Type of cover
Size
Top Colour
Side Colour
Piping Colour

DRI-TOP PROTECTOR:

Qty:
Size
Colour
Please note: The Dri-top is recommended only
for incontinent pets or bitches in season.
Not intended for continuous general use.

ACCESSORIES:

Throwovers: Qty:
Size
Choose Colour
 Please note:
Available in
SINGLE colour only.
Lap rugs: Qty:
Size
Choose Colour

PAYMENT METHOD
We do not expect payment at this stage! We believe in good old-fashioned personalized customer service so we like to make contact with you personally before processing your order. This is especialy to ensure your pet has the correct-sized bed, to confirm your order and answer any queries you may have had in the meantime.
We anticipate to call within 48hrs of receiving your order.
 
Please select how you would like to pay: 



PLEASE TELL US ABOUT YOUR PETS
This information will assist us to ensure each pet is fitted with the perfect sized bean bed.
You only need to fill in the details for the number of pets that YOU have. Leave all other lines blank.
 
 Pet's nameBreedWeight (kg)Length (cm)AgeSex
Pet 1 MF
Pet 2 MF
Pet 3 MF
Pet 4 MF
Pet 5 MF

OTHER INFORMATION

HOW DID YOU HEAR ABOUT US?

Completion of this section is optional.
Multiple sources can be selected.
The information supplied will assist us greatly to assess
our advertising efforts. Thankyou for your assistance.

 
Magazine:
Search engine:
Recommendation - Who!
Other - Please specify:

DELIVERY DATE

Please allow approx 3-4 weeks for delivery.
Let us know if you have a special reason or need for an earlier delivery or specific date, in the comments box below.
 

COMMENTS/SPECIAL INSTRUCTIONS



We will call you within 48hrs to confirm your order details. Thank you.