Office use only
Date Received........................
Date Sent................................
Po Box 196, Howlong, N.S.W 2643
Ph/Fax 02 6026 5340 (International)+61 2 6026 5340
E-mail jusplane@hinet.net.au
ORDER FORM (Please print off and fax or mail to us)
Name ...................................................
Address ................................................
State . Postcode ........
Contact Number ........................................
|
Cat No
|
Qty
|
Description
|
Each $Aud
|
Total $Aud
|
|
SubTotal
|
||||
|
Delivery charges depend on size, weight and/or destination and are sent via Australia Post unless otherwise advised. IF IN DOUBT PLEASE CONTACT US. |
Delivery
|
|||
|
Total
|
||||
Card Number € €-€ € € €- - Expiry Date -œ œ
Card Holders Signature Minimum Card order $Aud10.00 ** We accept -