Rhinoco Catalogue 2009 - Rhinoco Technology
Rhinoco Catalogue 2009 - Rhinoco Technology
Rhinoco Catalogue 2009 - Rhinoco Technology
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Fax Order Form<br />
Customer Details:<br />
Company:____________________________________________<br />
Contact: _____________________________________________<br />
ABN No. _____________________________________________<br />
Postal Address: ______________________________________<br />
____________________________________________________<br />
State: ____________________ Post Code: ________________<br />
Phone: _____________________ Fax: ____________________<br />
Mobile: ______________________________________________<br />
Email: _______________________________________________<br />
Delivery Details:<br />
Express Post (Up to 3kg only)<br />
Road Freight (Std Road Freight Charges Apply)<br />
Pick Up - Location:<br />
McGraths Hill<br />
On all pick up items<br />
Haberfi eld sales staff will call to<br />
Villawood confi rm availability<br />
Wollongong & pick up times<br />
Your Nominated Freight Carrier<br />
Company: ___________________________________________<br />
Phone:______________________________________________<br />
Account Code: _______________________________________<br />
Delivery Address: _____________________________________<br />
____________________________________________________<br />
____________________________________________________<br />
State: ____________________ Post Code: ________________<br />
Fax your order to: 02 4577 4885<br />
Order No. __________________<br />
Payment Details:<br />
Account - A/C # _________________________________<br />
Cheque / Money Order<br />
Direct Deposit<br />
Mastercard<br />
Visa<br />
Amex - (Surcharge Applies)<br />
Card No. _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _<br />
Exp Date: _ _ / _ _<br />
Card Holders Signature:<br />
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _<br />
(Please Note: Credit card charges may apply)<br />
Special Instructions: ___________________________________<br />
____________________________________________________<br />
____________________________________________________<br />
___________________________________________________________________________________________________<br />
____________________________________________________<br />
____________________________________________________<br />
____________________________________________________<br />
____________________________________________________________________<br />
Part No. Description Qty Unit Price Total<br />
Price<br />
Please Fax to RhinoCo <strong>Technology</strong> on<br />
02 4577 4885<br />
Please photocopy and use this page as often as required to order your products<br />
Total Order Value $<br />
Delivery $<br />
GST $<br />
ORDER TOTAL $