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Equipment for Life<br />
Invoice to:<br />
Deliver to:<br />
Phone:<br />
Mobile:<br />
Fax:<br />
Email:<br />
Order No: Contact name: Date:<br />
O R D E R F O R M<br />
Qty <strong>Product</strong> name Description Unit price Total price<br />
Don’t forget to<br />
redeem your<br />
FREE GIFT!<br />
For orders over $200.<br />
Offer ends 31/12/10.<br />
Delivery instructions:<br />
By Direct Deposit - please email/fax me an invoice to:<br />
Subtotal<br />
Freight TBA<br />
TOTAL<br />
Thanks for your order!<br />
Please debit my Visa Mastercard CEV number:<br />
Card number:<br />
Please note: Payment by credit card will incur a 3% surcharge.<br />
Expiry:<br />
Card holders name:<br />
Signature:<br />
Terms & conditions: 1. No goods will be sent out without payment. 2. All goods remain the property of First Aid Academy until paid in full 3. Freight is<br />
additional to quoted prices. 4. CLAIMS or RETURNS are subject to our acceptance and must be made within 7 days. 5. Prices quoted or advertised are subject<br />
to change without notice.<br />
To order call: 0403 621172 email to: sales@firstaidacademy.com.au<br />
fax to: 07 4039 1716 post to: 8 Mt William Cl, Redlynch, QLD 4870
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