(highlighted text indicates required information)
Trading Name
Company Name if different from above
Please supply one or more of the following	ABN. ACN. Business No.
Postal Address
Post Code
Shipping Address if different from above
Post Code
Contact Person
Authorised Buyer 1
Authorised Buyer 2
Authorised Buyer 3
Authorised Buyer 4
Phone
Mobile Phone
Fax
Email
website
No. of years in Business
Method of Payment	Visa    Master Card Bank Card   Cheque Direct Debit

Terms & Conditions
Payment:
Preferred method of payment is Direct Debt.
Upon receiving an order an invoice will be faxed to you with the total cost of order.
Orders will be processed when payment is received and cheques have cleared
Original Invoice and Receipts are shipped with goods.

Minimum Orders are $ 200.00 excluding G.S.T. and Freight
Some items maybe on backorder, we will supply all items that are in stock at time of processing, please indicate if you want us to back order for you

Shipping is via Australia Post, Parcel Post.
All discrepancies must be in writing and received within 7 days of delivery,
Please inspect all merchandise upon delivery.