Order Form - html

Alles Industries Pty Ltd
PO Box 6045
Vermont South
VIC 3133

Phone: 03 9886 6136 Fax:03 9802 6829

Please contact us for confirmation of prices

Print out this form, & Fax to us - use black pen

OR Cut & Paste this Form into your e-mail Program

OR Cut & Paste this form into your Text Editor

Customer - Organisation Name :			ABN
Address:
Area Code:
Delivery Address: (if different from above)
Area Code:

Phone Number		FAX Number
Name Authorising Officer		Position
Delivery Instructions	Post	Express Post	Courier

Add Delivery Charge
Total Cost

Payment Method: Cheque or Direct Deposit

DIRECT DEPOSIT DETAILS - PLEASE INCLUDE NAME AS PAYMENT REFERENCE OR FAX RECEIPT

BSB NO. 633-000 ACCOUNT NO. 114898695

Delivery Charges 3 Kg Ordinary Post Satchel $9.00 3Kg Express Post Satchel $10.50

Up to 15 Kg By Courier - Melbourne Suburbs $10.00 Victoria Country $18.00

Sydney - Adelaide Suburbs $16.00 Brisbane -Suburbs - Gold Coast - Sunshine Coast $22.00

For larger parcels and for all other areas please contact us for best delivery pricing