2018_Product_Selection_Guide

Index

Order Form

Fax to 1300 123 750 or Email to info@furnwaredorset.com.au

1. MY DETAILS

Company Name

Date Order

Ordered By

Purchase Order No

Delivery Address

Telephone

Facsimile

Suburb

Mobile

2. MY ORDER

Order Quantity

Part No:

Finish

Description

Rate

Per

Subtotal

Freight & Handling

Special Instructions

GST

Total

Please specify quantity required not number of boxes.

3. PAYMENT DETAILS

Please Invoice My Account Number (Nett 30 Days)

Please Charge My Credit Card

Card No.

Exp Date

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Index • Order Form

Card Holders Full Name:

Card Holders Signature:

© Copyright 2018 All Rights Reserved. Specifications subject to change without notice.

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Furnware Dorset • Product Selection Guide 2018