Visa, MasterCard, Australian BankCard Order form.

DonTronics P.O. Box 595 Tullamarine 3043 Australia. (Same address for 26 Years).
Fax: Int+613 9338-2935. Phone: Int+613 9338-6286.

PLEASE PRINT IN BLOCK LETTERS.

Name.........................................(Company)........................

Address.................................Suburb/Town/City......................

State..........................................ZIP/POST Code..................

Country (If not AUS)............................E-Mail:.......................

Phone...........................Fax:..........................Date............

Please, briefly, where did you hear about my kits?............................

PRICES SUBJECT TO CHANGE WITHOUT NOTICE

For full Prices and Product Codes, please read 'prices.htm' on my Internet Home page at:
http://www.dontronics.com
PLEASE SUPPLY...
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Prices must be given in Australian Dollars as per my Price list.

ADD POSTAGE and HANDLING Charges as detailed in prices.htm.........$..........

TOTAL..............................................................$..........

Please Circle one only. --VISA--MasterCard--BankCard.--
Account Number: .......................................Expiry Date:...........


Name on Card:..................................Signature:.....................
Signature not required for Phone or Fax/Modem Order.
Australians: Cheque, Money Order, and C.O.D. accepted.
To Order Overeas orders to the U.K. or the U.S. normally take about 8 to 10 days for the return of Air Mail packages from the time I receive the order.