SPEED AWARENESS INDICATOR tm
ORDER FORM
Print out this form, fill in and send with cheque,
money order or credit card details 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:
Speed Awareness Indicator:
Cost: x1=AUS$15
........... Speed Saver(s)
TOTAL
$AUS............................
We accept cash, money order, cheque and credit card.
Product will be sent
within two days after payment clearance.
FREE delivery and handling within
contact us for
details on international deliveries.
TRADE ENQUIRIES WELCOME
POSTAGE DETAILS:
BODYSAFE PRODUCTS
1066
AUSTRALIA
Phone/Fax: +061 03 5469 7202 (
Email: bodysafe.iinet.net.au
Webpage http://www.bodysafe.com.au