PLEASE PRINT CLEARLY

NAME........paul......................................................................................................................................

RESIDENTIAL ADDRESS ................................................................................................................

DELIVERY ADDRESS ( if different from above) ............................................................................

CONTACT PHONE NUMBER (Please include country code)...........................................................

PRODUCTS ORDERED....................................................................................................................

DESCRIPTION.................................................................................................................................

QUANTITY.....................................................................................................................................

METHOD OF PAYMENT.................................................................................................................

AMOUNT OF PAYMENT (Excluding freight *).............. ................................................................

NAME ON CARD ..........................................................................................................................

CREDIT CARD NUMBER................................................................................................................

EXPIRY DATE ..............................................................................................................................

SIGNATURE ................................................................................................................................

For all orders over $50au - It is required that you include a scanned copy of both sides of your Credit Card, if emailing.
Or a photocopied version if faxing it to me. Either of these are to accompany this FORM.
We accept Bankcard, VISA, AMEX or Mastercard

* When I have your goods ready to dispatch I will E-Mail you with the cost of delivery.

POSTAL ADDRESS:
Paul McCaul
32 Queen Street, Nambour QLD 4560
Phone: (07) 5472.7041 BUSINESS HOURS 7AM - 9PM
Fax:     (07) 5472.7041 (24HOURS 7 DAYS)
International Phone: ++ nternational Fax:     ++ 61 7 5472 7041

Ordering Information

You may order by Phone, Email, Fax or Post your order

PAYMENT DETAILS
Credit Card - acceptable with a scan and or a photocopy of your
card (both sides of it) and this correctly filled out order form.