| sales@ddsuppliers.com | D&D 612 - 9567 8191 | |||||||
| order form | ||||||||
| PLEASE PHONE YOUR ORDER THROUGH AT (612) 9567 8191 OR | ||||||||
| EMAIL US AT sales@ddsuppliers.com OR | ||||||||
| COMPLETE THE ORDER FORM AND FAX IT TO US AT (612) 9597 3138 | ||||||||
| Date :__________________________________ | Customer Number (if known) : _____________________ | |||||||
| Company Name : _______________________________________________________________________ | ||||||||
| Contact Name : ________________________________________________________________________ | ||||||||
| Address : _____________________________________________________________________________ | ||||||||
| Delivery Add (if different from above) : ______________ | Post Code : _____________________________ | |||||||
| Telephone : __________________________________ | Fax : ___________________________________…………………… | |||||||
| Email : _______________________________________________________________________________ | ||||||||
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Product Code |
Description |
Quantity |
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| All Prices included GST | ||||||||
| Credit Card details for payment will be required before delivery of goods.We do not accept AMEX | ||||||||
| I authorise D & D Hairdressing Suppliers to debit the below mentioned card for payment of goods ordered | ||||||||
| Credit Card Number : ____________________________________________________________________ | ||||||||
| Name on Card : ________________________________________________________________________ | ||||||||
| Expiry Date : __________________________________________________________________________ | ||||||||
| Signature : ____________________________________________________________________________ | ||||||||
| CCV No : _____________________________________________________________________________ | ||||||||
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