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Aussie Inkjet Fax Order
Form Shop 4/171 Nerang St Southport QLD 4215 PH: 0755 640 353 FAX: 0755 640 354 Please print this form & fax to 0755 640 354 |
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The purpose of this form is for you to easily order supplies via fax, or fast service, same day dispatch and express delivery if requested (may incur an additional charge). Postage Up to 500g is $5, 500g to 1Kg is $9 over 1Kg is $11 Customer, please fill in the below fields. |
| Refill Kit | |
| Bulk Ink | |
| Cartridges Inkjet/Laser | |
| Accesories/Paper/Refill Clips | |
| Your Name | |
| Your Address | |
| Your Phone Number | |
| Email Address |
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Methods Of Payment: Credit Card, C.O.D, Cash Cheque, Money Order. Direct Deposit To: Aussie Inkjet at ANZ Southport, Queensland. BSB Number: 014 701 Account Number: 4974 63931 |
| Your Credit Card Number | |
| Your Credit Card Expiry |
| Your Signiture Please |
QUICK SERVICE: Phone or fax this order form to (07) 5564 0354