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JAYMAC

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PAGE 97<br />

COMPANY NAME:<br />

CONTACT NAME:<br />

DELIVERY ADDRESS:<br />

TOWN/SUBURB:<br />

DATE: / /<br />

PH:<br />

POST CODE:<br />

ORDER No/JOB No:<br />

Please photocopy this form and use at your convenience<br />

Part Number Quantity Description Office Use<br />

Comments/special requests:<br />

Transport Method: Please send via <strong>JAYMAC</strong> preferred transport (Free delivery available - see details on page 4)<br />

Please send via my preferred transport<br />

Name:<br />

Account No: (if applicable)<br />

Other:<br />

Payment Method:<br />

Credit Card<br />

Expiry Date:<br />

TYPE OF CARD:<br />

Direct Deposit Bank Details<br />

BSB: 032 621 Acct#: 289 640 (Please fax notification of deposit)<br />

Cheque Post to Jaymac, Po Box 7002, NEMSC NSW 2348<br />

Account (For approved Account Customers Only)<br />

© JWL MARKETING T/as <strong>JAYMAC</strong> WELDERS SUPERMARKET. ALL SPECIFICATIONS SUBJECT TO CHANGE WITHOUT NOTICE. NON-GENUINE PARTS MAY BE.<br />

ADVERTISED WITH REFERENCE TO THE ORIGINAL MANUFACTURER’S TRADE NAME OR PART NUMBER FOR IDENTIFICATION PURPOSES ONLY. E. & O.E.<br />

Phone: 02 6765 2077 • FREECALL 1800 809 362 • Fax: 02 6764 9555<br />

• Email:sales@jaymac.net.au www.jaymac.net.au<br />

<strong>JAYMAC</strong><br />

W E L D E R S S U P E R M A R K E T

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