Sales Order Form

Name:
Address:

Postcode & State:		Fax:
Phone (Work):		Phone (Home):
E-mail:

Item:				Price $:






Please complete payment details
Please tick one	Cheque (payable to ARHS QLD DIVISION)			Money Order
(Credit card minimum $20.00)	Bankcard	Mastercard		Visa
Overseas orders payable by credit card only - correct postage will be debited to your card. Please indicate whether you want to pay Economy Air Mail charges.
Card No. __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __			Expiry Date: ___ ___ / ___ ___

Cardholders Name:
Signature:

Mail Order Sales - Order Form Please print this form, complete it, then .... post to: ARHS Sales, GPO Box 682, Brisbane, QLD, Australia, 4001