Nature Escape

Order Pad

TEST MODE — no real charges. Use test card 4000100011112224, any future expiry (e.g. 1230), CVC 123.

Please enter the qty of the items you need.

Mobile Phone#

Item_ID	Item_Desc	Price
COKE_B12	Coke bottle - 12 Pack (T)	15.00
FIREWOOD	Firewood bundle (T)	10.00
WATER_B1	Water bottle (T)	2.00
Subtotal
Sales tax (9.1%)
Total

Notes (optional)