ORDER FORM

Terms of credit strictly 14 days

Date...........................................

Customer...........................................................................................................................................

Postal Address.................................................................................................................................

Telephone Number .......................................................fax...............................................................

Delivery Address..............................................................................................................................

..........................................................................................................................................................

  
 
Quantity Item Price Qty supplied
(office use only)
       
       
       
       
       
       
       
       
       
       
       
 
  Office use only
Dispatch date:....................................... Invoice No:..........................................
Consigned to:........................................ No. of parcels:......................................
........................................................  Consignment No:...................................
Packed by:........................................... ........................................................ 
 
  Maruku Arts. CMA Ininti Store  Uluru  NT  0872
Ph: +61 8 8956 2153       fax: +61 8 8956 2410
Email: punu@maruku.com.au    Website: www.maruku.com.au