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Fax: +61
7 3410 0128 |
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FencingOnline Box 2049 Woorim 4507 Bribie Island Qld AUSTRALIA |
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Fax and Postal Order |
| To: | Customer Service @ FencingOnline | From: |
| Fax: | +61 (7) 3410 0128 | Fax: |
| Date: | Phone: Work | |
| Phone: Home | ||
| Phone: Mobile | ||
| Re: | En Garde! The serious fencers' training diary | Email: |
CUSTOMER DETAILS
| Name | |
| Delivery
Address
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Direct Deposit PAYMENT DETAILS:
| Account Name: | FENCINGONLINE | |
| Bank: | Commonwealth Bank of Australia | |
| Bank State Branch (BSB) | 06 4448 | |
| Account No. | 10172848 |
| Receipt No.: | Date and Time of Transaction: |
Cheque/Money Order/Postal Order PAYMENT DETAILS:
| Name of Payer: | |
| Cheque Details: | |
| Payee / Payable to: | FencingOnline * If Business Name is not allowed then payment to: Gary Worsfield |
ORDER DETAILS
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QTY |
DESCRIPTION |
PRICE |
TOTAL |
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En Garde! The serious fencers' training diary |
$90.00 | $ | |
| POSTAGE CHARGES | In Australia $12 (registered) Overseas: New Zealand: $15, Canada/USA: $20, UK/Europe: $24 | $ | $ |
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TOTAL ORDER
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$ |