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Engineering Tools
Australasia
Your on-line engineering tool and machinery
superstore
Orders can easily be
faxed or posted!
Simply
BLOCK this entire GREEN area, click on
File Print Selection
Okay
Fill out the form and Free Fax to:
1800 620 561 or
Fax to 61+ 7 + 49 279 559
or post to:
Engineering Tools Australasia,
PO Box
5856,
Redhill,
North Rockhampton Q'ld 4702
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Customer
Details: |
| Business
Name:
_________________________________________________ |
| Contact
Name:
__________________________________________________ |
| Address
1:______________________________________________________ |
| Address
2:______________________________________________________ |
| State:_______________________________
Postcode:__________________ |
| Country:________________________________________________________ |
| E-mail:_________________________________________________________ |
| Phone: ______________________________ Fax:______________________ |
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QTY |
Description |
Size |
Unit
Price
$AUS |
Total |
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Subtotal |
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Please circle payment method:
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Tax |
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Cheque, Money Order, Credit
Card, Direct Credit |
Shipping |
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If
paying by Credit Card, please fill
in details below |
Balance
Due |
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Credit Card
Number: ___ ___ ___ ___ ___ ___ ___
___ ___ ___ ___ ___ ___ ___ ___
___
Expiry
Date: ____ /____
Name on Card:
___________________________Signature:
____________________
Delivery
Address:
| Business
Name:
_________________________________________________ |
| Contact
Name:
__________________________________________________ |
| Address 1:
______________________________________________________ |
| Address 2:
______________________________________________________ |
| State:
_______________________________ Postcode:
________________ |
| Country:
________________________________________________________ | |
