You can either:
Fill out the form in your browser (Chrome).
Once complete, do not save it, rather choose to Print, and then under "Destination", press "change", and choose "Save as PDF" then "Save" which saves it to a PDF file that you can email us.
Download the form, open it with Adobe Acrobat, enter you order, and then save and email it to purimbaskets@kollel.com.au
Print and fill out by hand, and then
scan+email to purimbaskets@kollel.com.au
fax to 03 9527 8034, or
mail back to us at 362a Carlisle St, Balaclava VIC 3183