Ordering and Quote

Fax (03) 6382 2599
International Fax +(61)(3) 6382 2599

E-Mail premverma@microtech.com.au

To print this form, please right click your mouse and select print.
Fill in your order/quote and fax it to (03) 6382 2599.
We will reply with a written quote reguarding your order.

E-mail Kamal Austrading Services for a postal address.

Name -
Address -
State - Zip - Country -
Phone - Fax -

Visa   Card Number  
Mastercard   Expiry Date  
Bankcard   Name on Card  

Qty Description Size
     
     
     
     
     
     
     
     
     
     
     


Mastercard Bankcard Visa
Money Order and Cheque(Allow 10 days for clearance)
Packaging and handling charges apply as per Australia post.