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R & D Hydroponics - Fax or email this Order Form

FILL IN THE FORM AND THEN COPY AND PASTE INTO THE EMAIL ADDRESS or FAX

( Copy and pasting:  highlight the form by scrolling with LHS tab of your mouse held down, release, then click on the RHS of your mouse and click on copy. Open your email that you intend sending and paste the form into the body of the email by clicking on the RHS of mouse and click paste, then add subject .."order" ...then send)

Please print this form to fax it or copy and paste to the email address: 

fax to 61-2-9756 2207  or email to romerja @optusnet.com.au or email to quikgrow@bigpond.com

Orders will be posted immediately on receipt of payment.

To: R & D Hydroponics From:
Re: Product Order

Your Phone:

Phone: (02) 9756 1833
International: +61 2 9756 1833

Your Fax:

 

Your Address(e-mail & residential):

 

 

 

Fax: (02) 9756 2207
International: +61 2 9756 2207
 

SPECIAL INTERESTS:

   
 
 

Order Details

Product

Size (if applicable)

Quantity

Unit Price

Total Price

         
         
         
         
Additional Comments:

 

 
Payment Details

Please Circle an Option Below... Please add freight

  • Australia Post: Freight and handling costs: 
  •  NSW $10.00 plus $0.50 per kilo; Vic $10.00 plus $0.75 per kilo; Sth Qld $10.00 plus $1.00 per kilo; Nth Qld $10.00 plus $1.75 per kilo: NT $10.00 plus $2.75 per kilo: WA $10.00 plus $2.75 per kilo: Tas $10.00 plus $2.00 per kilo.    Use 1litre is equivalent to 1 kg.
  • OVERSEAS: $20.00 for each 500 gram (1/2 kg) or 1 pound weight or for liquids 1 quart or a half litre. 
  • Bank Transfer to R&D Aquaponics Account No. 76 0287 Westpac Branch at Wetherill Park  BSB 032 349.
  • postal note
  • bank cheque

If Paying by Credit Card please fill out these details:

Type of Credit Card: Bankcard / MasterCard / Visa.     (please circle one)
Name on Credit Card: ___________________________
Credit Card Number: ___________________________
Credit Card Expiry Date: ______/______/__________
Signature of Card Holder: __________________________

NOTE: If additional pages for ordering are required, please make sure that they are numbered, and include your name on each page. Please provide your telephone number to assist in expediting your order.
Orders will be posted immediately or asap on receipt of payment
.

 

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