Page 1
and fax to
07 46302434 within Australia
or
61 7 46302434 outside Australia
Best time to Fax if sending from: Australia 8am - 7pm
New Zealand 10am - 9pm
Los Angeles 3pm - 10pm
New York 6pm - 10pm
London 7am - 11am
Paris 7am - 10am
Tokyo 9am - 8pm

Fax Credit Card Sales Voucher & Order Form
Visa /Mastercard/Bankcard

Quantity
Item Code
Cost
Freight
TOTAL COST:

(Please delete $8.00 Aud freight charge if the Total Cost is more than $100.00 Aud within Australia)
(International freight charges will apply for all overseas orders.
You will be advised of freight charges upon our receiving of your order.
We can organize overseas freight at competitive rates.)

Click to Type in your Credit Card and Customer Details below on page 2.
Print both pages Sign and Fax using details a the top of this page
.

The print button will automatically select both pages

Comments


Page 2

Card Holder's Name:

Card Number:
-
-
-

Card Type:
Four Digit Security Code:
AMEX & JCB cards only

Expiry Date:
Amount($AUD):

Card Holder's Signature  
CUSTOMER DETAILS
Name: Todays Date:

Invoice Address:

City&State:

Country:

Post Code:

Phone - Day: Night:

Email:

Delivery Address:

City&State:

Country:

Post Code:
(Sorry, No P.O. Boxes)

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