Order by Fax/Post
Please print this order form, fill in
the details of your order and either:-
1) Fax it to Exton Enterprises on (07) 3376 5629
(Australia) or +61 7 3376 5629 (International)
2) Post it to Exton Enterprises at P.O. Box 394,
Mt Ommaney, Queensland 4074, Australia
|
a)
Your Order (please fill in
details below) |
| Qty |
Description |
Price (AU$) |
_____ |
_______________________________________________________________________ |
__________ |
_____ |
_______________________________________________________________________ |
__________ |
_____ |
_______________________________________________________________________ |
__________ |
_____ |
_______________________________________________________________________ |
__________ |
| |
Total excluding
freight (AU$): |
__________ |
|
1) Postage and
packing (freight) is automatically added to your order if you
use the shopping cart at extonaustralia.com.
2) If you choose not to use the shopping cart and fax/post your
order then we will confirm the freight charge with you before
dispatching your order.
3) International orders will be sent by First Class Airmail.
4) Any Customs Duty or Taxes levied by the country to which the
product is sent is the responsibility of the purchaser.
|
|
| b) Payment Details
(information below marked with ** is mandatory) |
| **Card type |
|__|-Mastercard
|__|-Visa |__|-American Express |
| **Card holder's name |
________________________________ |
| **Card number |
__ __ __ __ - __ __ __ __ - __ __ __ __ -
__ __ __ __ |
| **Card expiry date |
___________ |
| **CVV Code |
_________ (Numbers following the card
number on the signature strip on back of card) |
| **Signature
|
____________________________
|
c) Your Name
(if different from cardholder's name) |
________________________________ |
| **Street |
________________________________
|
| **City |
____________________________ |
| **State |
____________________________ |
| **Post Code |
___________ |
| **Country |
____________________________ |
| **Email Address |
____________________________ |
| Phone Number |
____________________ |
| Fax Number
|
____________________
|
d) Name for delivery
(if different from above) |
________________________________ |
| Street |
____________________ |
| City |
____________________ |
| State |
____________________ |
| Post Code |
____________ |
| Country
|
________________________________
|
| e) Special instructions
|
_____________________________________________________________
_____________________________________________________________
_____________________________________________________________ |
|
$$$ Special
Offers At Hugely Discounted Prices $$$
These products are
for sale at discounted prices while stocks last.
(click here) All items are brand new and
have been discounted because they have been discontinued by our
suppliers or we have decided to delete the product from our stock
range. The offers are made on the basis of first in first
served. |
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