POOL GRATE ORDER FORM
Our email address is: vic@de-fontenay.com

Victor K. de Fontenay & Assoc
Fill out this Form with your Payment Information.
Option: This Form may be Printed and Used for Fax or Mail Orders
Standard Installation Drawings emailed with each order, Balance Tank Size Calculations provided for you if necessary.
CHOISE OF PURCHASE METHODS
CHOISE OF DELIVERY
Letter of Credit
Direct Credit Card Purchase
Fax Order - Bank Draft.
Road Freight (in Australia)
Sea Freight
Air Freight.
SIZE

COLOR

QUANTITY METRES

TOTAL VALUE AU$




PURCHASER INFORMATION FORM OF PAYMENT

Business Name:
Contact Name:

Address:

City:

State, Zip:

Country:

Telephone:

Email Address:
Letter of Credit
Visa
MC
Bank Draft AU$
CC #:
Exp Date: Mo Yr
Name on CC:

  • Irrivocable Letter of Credit made out to Victor K. de Fontenay & Assoc..
  • Your Order will not be processed if the "Customer Information" is not complete.
  • Credit Card Orders will be shipped upon credit varification.
  • Option: This Form may be Printed and Used for Fax Orders.

    • Fax Order Number: +61 8 8331 8398


    Changes last made on: April 04th, 1999 @ 12.54 pm

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