512 Miles Street, Bankstown Airport. N.S.W., 2200, AUSTRALIA
PHONE: +61 - 2 - 9793 - 9944    FAX: +61 - 2 - 9793 - 9844
EMAIL : bronandjohn@aeroplaneart.com.au

NAME :  

ADDRESS :

 

  
CITY :   STATE :  
ZIP CODE :   COUNTRY :  

Mailing address for gifts, or if different from above.

NAME :  

ADDRESS :

 

  
CITY :   STATE :  
ZIP CODE :   COUNTRY :  

PLEASE SEND ME THE FOLLOWING

CODE No.
DESCRIPTION
QUANTITY
$ TOTAL
       
       
       
       
SUB TOTAL OF ITEMS ORDERED
  

GOODS & SERVICES TAX (GST) - add 10%

POSTAGE & HANDLING
(Once only Charge)
To Australian Address add $5.00
To Overseas Address add $10.00

  
INSURANCE
  
TOTAL AMOUNT $ AUSTRALIAN
  

 

PAYMENT METHOD

CHEQUE :   POSTAL ORDER :   (Drawn on Australian Bank)
Mastercard :   VISA :   Bankcard :   American Express  

 

I enclose my cheque or a Postal Order for Australian $ ........................

OR

Please charge this order to my Credit Card number

 

CARD No : ___________________________________________  Expiry Date :         /       

 

SIGNATURE : ................................................................ DATE : .............. / .............. / .............

PHONE CONTACT DETAILS

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