Order by Fax or Mail
Print out the following order form and either:1. Fax it to : +61 2 9327 3100 (International) or
02 9327 3100 (Australia)2. Mail it to :
Club Web Design
PO Box 1261
Double Bay NSW 1360
Australia--------------------------------------------------------------
Yes, I want to order my web site design service as described at "ClubWebDesign.com".
Name: ______________________________
Email: _____________________________
(double check the spelling as this is where your service correspondence will be sent)
Company (optional): _________________________
Address: ____________________________________
City: ___________________________State__________Zip: _____________
Phone: _____________________________
Service Required: _____________________________________________
REFERENCE CODE:_____________________
( ) I am enclosing a cheque or money order for :
TOTAL:______________________AUS
*All Australian prices are subject to GST and are fully Tax Deductible for business purposes
To issue a cheque in your own country currency please go to www.xe.com and do the relevant conversion from AUS into your countries' currency. Then attach a note stating the date and amount of your currency against AUS. We'll only accept the cheque if it is for the correct amount equivalent to AUS.
Please note that we do not accept cheques by fax, so if you are paying this way you must mail the cheque in. Also ensure that all cheques are made payable to "The James Corporation Pty Ltd" which is the company which owns Club-Web-Design.com.au
( ) I want to charge this purchase to my Credit Card :
Credit Card (check one):
( ) Visa
( ) Mastercard
( ) American Express
( ) Diners ClubCard Number: _____________________________________________________
Expiry Date: __________Signature: ___________________________________I authorise 'The James Corporation Pty LTD to charge:
TOTAL: $_______________________AUS
to my credit card for the purchase of the "Club Web Design" service.
Please Enter your Web Site Address (if you have one):
http:// _________________________________________
After we have received this and processed your order, one of our representatives will be in contact with you (within 72 hours) by sending you an email asking for instructions so that we can then start the Club Web Design service.Please note that all first contact will be via the EMAIL address you have already given us for all correspondence.
If you would prefer to use a different email address for first contact please do so now:
Email: __________________________________________
Thankyou for your order and we'll be in touch soon.
Ph 1300 769 855 if you have any questions regarding the completion of this form.