Phone:
02 1300 78 78 01
Fax:
(02)
9261 2599
3/
Send Cheque to The Success Store Lvl 8, 307 Pitt St, Sydney NSW 2000
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PICK
UP |
No charge |
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DATE REQUIRED |
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*Add
DELIVERY/Handling/Insurance |
$16.80
Min |
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TOTAL INC.GST |
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*
Delivery/Handling/Insurance within Australia please add the following = (Min
$16.80/ order)
Order Value ($150-$250 add
11%) ($251-$500 Add 8.25%) ($501-$2000 Add 5.5%) (Over $2000 Add $75)
Please
note: Delivery to single destination only. For multiple deliveries, please call
for a quote.
Your Success Store Contact: Jessica
Sabbagh – Ph 1300 78 78 01
Your Name:
______________________________________
Company: ______________________________________
Street Address:
_________________________________
City: ________State:___________
Post Code:_________
Phone:
_________________Mobile:_________________ Fax:
____________________
Email:
___________________________________
Can we add you to our mailing list? Yes/No
Payment Method: Mastercard Visa
Bank Card American Express
1. Credit card details: Card Type:______ Card
Number:____________________________
Expires:______ Name on card:
_________________________________________
Cardholder Signature______________________________________
All our orders are ordered via our website, please choose and fax
this order form to us.
Phone:
02 1300 78 78 01
Fax:
(02)
9261 2599
3/
Send Cheque to The Success Store Lvl 8, 307 Pitt St, Sydney NSW 2000
Product Order Conditions:
1.Please choose carefully as we do
not refund on wrong choices, but can exchange.
2.We do not refund on damaged
goods.
3.Please be specific in your order
for correct delivery.
I have read & understood the above as per this
order form.
Signature:_________________________________Date of
order:______________________
Please tell us how did you hear
about THE SUCCESS STORE?: (please circle)