Fax Order Form

- Fax Order Form -

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Print this form and fax it to: 03 9768 2883 (Australian buyers) & +61 3 9768 2883 (International buyers)
To print use the "Print" function under the file menu or hold both "Ctrl" and "P" keys together.

CUSTOMER DETAILS

Your name:

Your eBay user ID:

Your email:

Your telephone:

Your address:

..............................................................................................

.......................................................Postcode.......................

CREDIT CARD DETAILS

Visa □ Mastercard □

Card number:

Card Expiry Date:

Name on the card:

Signature:

__ __ __ __ - __ __ __ __ - __ __ __ __ - __ __ __ __ - __ __ __ __

__ __ / __ __

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PRODUCT DETAILS*

Item(s) Number

How many items in total:

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__________

Total price for item(s):

Total freight cost expected*:

Total to be paid:

$__ __ __ __ __ __ . __ __

*Unless freight cost is exact, Bayelic Online reserves the right to adjust it to match prices advertised on our site or eBay listings without prior notification.

Please note: exact freight cost is not included in total price & is available from the website you have purchased your item(s) .

Refer to our terms & conditions of sale.

By using this form, you hereby authorising Bayelic to charge your credit card for the exact amount due.