NOTE: This form autosaves the form data that you enter as you progress to ensure you don't accidentally lose your data if the page reloads accidentally etc. IF YOU ARE ON A PUBLIC DEVICE and there is potential that you may not complete the form, you can click the button below and we will not autosave your form data. All form data is cleared after the form is submitted successfully.

Make a Custom Payment (AUD)

Thank you for your custom payment.

Thank you for your custom payment. We will be in contact with your shortly about your payment if required.

Submission Details

Name:

Email:

Submission Date:

If you entered an email address, your submission details have been sent to you in an email.

Error!

Your Details

Shipping Address

If your payment is for a massager please enter your address so we know where to send your package.


Payment Details

Minimum of $10.00

(Enter amount in decimals e.g. 20.00 = $20)
$

Payment Method

Payment by Credit Card is MasterCard or VISA only. All major bank debit cards are also accepted. Please contact us if you have any issues. Payment by Credit / Debit Card incurs a 1.75% card surcharge.

Payment Summary


AUD $
(Credit / Debit Card payments include a processing fee of 1.75% ($) on top of your total selected items)

Credit / Debit Card Details




Please click the submit button below and wait for your payment to process. Do NOT click the button more than once in quick succession or your credit / debit card may be charged multiple times.
Our website and payments are protected by the highest level encryption with SSL/HTTPS. Your data is securely and safely encrypted. Click the lock in the URL bar at the top for more information.
AUD $  
Save Form Progress