BAR-GUARD tm ORDER FORM
Print out this form, fill in and send with cheque or money order to address
below
ADDRESS DETAILS
Name:................................................
Street:..............................................
Town:................................................
State:.......................... Postcode:............
Country:.............................................
CREDIT CARD DETAILS
(Only needed if paying by this method)
Type of card (eg. visa):.............................
Name on the credit card:.............................
Credit card number: __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __
Expiration date:........................
ORDER DETAILS:
Bar-Guard:
(x1) ........... Single Bar-Guard/s @ $ 11.95 AUS
= $ AUS..........
(x12)........... Twelve Pack/s @ $ 129.00 AUS (10% discount)
= $ AUS..........
Plus $3.00 postage and handling. GST included.
TOTAL $AUS............................
All Fleet / Safety Officers and Trade enquiries welcome.
POSTAGE DETAILS:
BODYSAFE PRODUCTS
1066
Phone/Fax: +061 03 5469 7202 (
Email: bodysafe@iinet.net.au
Webpage http://www.bodysafe.com.au