Online Order Form

Name

Contact Phone

Fax

email address

Organisation

Billing Address


City/Suburb

State

Postcode

Country

Delivery Address


City/Suburb

State

Postcode

Country

Special delivery instructions

Delivery Method

Carrier's Name

I'd like to order :
(Tip: position this page to one side so you can see the rest of the site next to it, then you can copy and paste codes and descriptions etc into this area)

Sales Tax      

If exempt, state which section of the Sales Tax Act you are claiming exemption under...

Goods will be shipped immediately to existing account customers, or if you are paying by credit card, otherwise goods will be shipped when the cheque clears. (Credit Cards will be treated like a phone credit card order).
Payment options
Card Number Expires

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P.O. Box 230, MILSONS POINT, NSW, 2061, Australia

Ph: (02) 9966 9070  Fax (02) 9966 9071

email: info@rescue-equip.com.au