fax order
ORDER FORM - Fax to 09 473 8301
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Order No:
Contact Name:
Position:
School Name:
Postal Address:
Delivery Address:
Phone:
Fax:
e-mail:
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Please charge my school ¨
Cheque enclosed: ¨ Money Order/Bank Draft enclosed: ¨ Purchaser’s Signature ________________
Visa / Mastercard ¨¨¨¨ ¨¨¨¨ ¨¨¨¨ ¨¨¨¨ Expiry Date: ___________
Code
Size
Description
Quantity
Unit Price
Total Price
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Click here for Ordering Procedures, Prices, Delivery Timelines, Payment
Plus Freight
Sub Total
Plus GST (12.5%)
TOTAL
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