Judy Bourke's
Paint 'n Dye Fax Order Form

  
  • Preferred payment is direct payment into my bank account using online banking or direct deposit at any branch of the Commonwealth Bank
  • Phone me on (02) 4267 2697 for bank details
  • Other payment options are credit card, money order or cheque
  • Add 5% to the total if paying by credit card

* Type in your order below

Account To
Name:
Organisation:
ABN:
Address:
Suburb: Post Code:
Phone:   Fax:
Email:
 
Deliver To
Name:
Organisation:
Postal Address:
Suburb: Post Code:
 

Order Details
* Type in 'how many' of a certain item you want
* Use the drop down box under the 'size' column to choose correct size of container
* Type in the colour and product name in the 'what' column
* Type in the 'cost' column using prices from the Paint 'n Dye Price List

Date:

Order No:

how
many

 size

what

cost
$
$
$
$
$
$
$
$
$
$
Add up the dollar costs and type in the
Sub-total 		$
Calculate 30% of the sub-total to take off for the SALE
Sale Discount		 $
Type in the freight $13.00 NSW; $18.00 rest of Australia
Freight		 $
Total $
Add: 5% if paying by credit card $
Grand Total $
  
Payment Details

Payment Method:

 Online Banking or Bank Deposit
Credit Card Money Order Cheque
Card Type:

VISA Mastercard

Card Number:
Name on Card:

Expiry:

Signature:
  • Check the order form has been filled out correctly
  • Print and sign the order form
  • Fax the order form to me Australia (02) 4267 2697 ~ International +61 (2) 4267 2697

  • Post cheque or money order payment to
    Judy Bourke, 10 Mt Gilead Rd, Thirroul NSW 2515

  • For credit card payment, be sure to sign your authorisation.

  • Goods despatched upon receipt of payment (cheques subject to clearance), except for established accounts. 

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