K & C STORK SOLAR POWER CONSULTANTS
ORDER FORM
CUSTOMER DETAILS
1. Name:
2. Address:
3. Suburb:
4. State:
5. Postcode:
6. EMail address:

ORDER DETAILS
Item #Model #DescriptionPriceQtyWeightTOTAL
1
2
3
4
5
6
7
8
9
Sub-TOTAL $

PAYMENT INSTRUCTIONS
PERSONAL CHEQUE (allow clearance before dispatch). MONEY ORDER.
BANK CHEQUE. CREDIT CARD (provide details below).


DELIVERY INSTRUCTIONS
NORMAL MAIL (up to 1kg) MAIL PACKAGE (1kg to 10kg)
EXPRESS POST (up to 1kg) PARCEL POST (1kg to 10kg)
COURIER None

Sub-TOTAL $

OTHER INFORMATION (including card details if applicable)
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GRAND-TOTAL $

We will email you to confirm your order and payment details.

please print and fax this form to 03 5367 6229 or email solarpower@bigpond.com with your order requirements.