Order Form

 

Please print and complete the form below, then either fax to 07 4954 0285, or post to Foundry & Fibreglass, PO Box 55, Kuttabul, Qld, 4741. We will contact you with price correction if any, packing and freight charges. Orders received are obligation free to this point. If you accept, we will send an invoice. 100% payments are required before dispatching goods.
Item N0: Code  Description Cost Each Qty Cost
   
Order Date - 1/6/2009 7:20:31 PM
   
Total Cost * -
$
* Prices do include GST, do NOT include delivery.
 
Full Name
 
Delivery Address
 
City
 
PostCode
 
Contact Phone Number
 
Payment Methode
Cheque
 
Money Order
 
Direct Desposit
 
 

Signature -