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	COMMUNICATIONS PTY LTD

Order Quality Imark Products Here

Orders

We are pleased that you have decided to order some of our products via our web site ordering facility.

To be sure that you get exactly the product that you require, and to ensure we ship it correctly, we need to gather some information about you. Please complete the details requested in the following form and send it to us by clicking the "Submit Order" box at the end of this page.

Should you have any comments or further requests about any of our products, our organization, or anything else that comes to mind, please include these also.

We welcome all of your comments and suggestions and once again thank you for your order.

1. Tell us how to get in touch with you:

Name
Company
Address
Town / Suburb
State
Zip or Post Code
Your Country
Your E-mail
Telephone
Fax

2. Please enter your order in the space provided below:

3. Please tell us how to ship your order?

Surface Mail. Air Mail. EMS. Air Freight. Ocean Freight. Road Freight.

If you have your own carrier, please specify the following information:

Carrier name and service:

Your carrier account #

4. Please tell us how you will pay for these goods?

Direct Deposit/EFT. Bank Cheque. Credit Card. Other Means.

If you have chosen "Credit Card" payment, please provide the following details:
Please Note: This is not a secure server and your credit card details may be intercepted in transit,
your credit card details are sent entirely at your own risk.

Credit Card Type		Credit Card Name
Credit Card Number		Expiry Date

If you have chosen the "Other Means" form of payment, please provide the details:

5. Please list any comments you would like to convey to us?

Please contact me as soon as possible regarding this matter.


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