SUPPLIERS OF VALVES AND TUBES FOR AUDIO, RADIO AND INDUSTRIAL USE
PO BOX 266, ROSEWOOD, QLD, 4340 AUSTRALIA
Tel: (07) 5467 9568 Int Tel: +61 7 5467 9568 Fax: (07) 5467 9696 Int Fax: +61 7 5467 9696
Email: evatco@pacific.net.au Web: www.evatco.com.au
Date..................................... Order Number...........................................
Name...................................................................... Ship to (if different).............................................................
Street...................................................................... Street..................................................................................
Town/Suburb........................................................... Town/Suburb......................................................................
State............................ Post/Zip Code................. State................................. Post/Zip Code.....................
Country..............................................................
Contact Details Phone:......................................... *Email:................................................................................
*(this must be completed if direct deposit is to be made)
Methods of Payment R
c Visa c Mastercard
| Credit Card Number | Expiry Date | |||||||||||||||||||||||
Cardholder's Name..................................................................... Signature.................................................
c Cheque - Please made cheques payable to EVATCO or Money Order
c Direct Deposit - We will send an email once your order is received with our bank account details
Please indicate your preferred postage method:
c Australia Post c Express Post c Airmail Insurance: Yes No
| Qty | Item |
Description |
Unit Price | Total |
|---|
| Total for Goods (AUD) | |
| GST (10%) Australian Customers Only (if not included in price) | |
| Packing and handling Charge (AUD) | $2.50 |
| Postage Charges (AUD), (confirm postage with us before sending cheque or money order) | |
| Insurance (if applicable) | |
| Total Order Amount (AUD) | $ |