SCOTT'S OLD AUTO RUBBER. Tax Invoice. ABN: 54 163 105 037
Web Address: www.scottsoldautorubber.com.au E-mail Address: scott@scottsoldautorubber.com.au
See below for the various methods of placing your order & payment alternatives.

EASIEST METHODS - PAY BY CREDIT CARD or PayPal: scott@scottsoldautorubber.com.au
COMPLETE ORDERING INFORMATION BELOW.

OR  PAY BY BANK TRANSFER - Your bank must include ALL the information shown in blue.

Bendigo Bank swift code: BENDAU3B BSB number: 633-000 Account number: 133352559
Account in the name of: SCOTT'S OLD AUTO RUBBER Correspondent bank: BENDIGO BANK, PINEWOOD BRANCH - Melbourne
Payment by electronic transfer should be in AUD (Australian $) and a standard charge of $2.00 if in AUD for overseas transactions or currency exchange charges of $15.00 AUD may be charged. After making your bank transfer E-MAIL Scott with details.
OR  PAY BY WESTERN UNION MONEY TRANSFER - 
Payment by electronic transfer should be in AUD (Australian $) or currency exchange charges of $15.00 AUD may be charged.
After making your Western Union Transfer E-MAIL Scott with details.   
OR  PAY BY CREDIT CARD. Copy this form from here down to an email or print this form below, charges made in AUD.
Fill in your details & MAIL/FAX the form below with your details to: Within Australia: (03) 956 33023 - International: + 61 - 3 - 95633023
OR  PAY BY CHEQUE OR BANK DRAFT: Drawn on Australian bank in AUD. Print this form, fill in your details & MAIL the form below with your payment to:

Scott's Old Auto Rubber,  P.O. Box 105, Mount Waverley 3149. Victoria Australia.

NAME______________________________________________________________________


ADDRESS__________________________________________________________________

 _____________________________________________________POSTCODE (ZIP)______________

 __________________________________COUNTRY_____________________________


Telephone ___________________________________Fax______________________________


E-mail________________________________________

CREDIT CARD PAYMENT: Card Type __________

Name on card __________________________ Expiry Date ___________

Card Verifying Number _  _  _  (last 3 digits on signature strip rear of card - Visa and MasterCard only or 4 on front of Amex)
 

CARD   No:  __ __ __ __   __ __ __ __   __ __ __ __   __ __ __ __  or your last invoice number after checking that everything is current 


OR Cheque enclosed (held till cashed) ___________________ OR Bank transfer made____________________


DATE________________________ SIGNATURE__________________________________________________________________________________

TYPE OF CAR:___________________________________________________________________________________


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OTHER ITEM_____________________________________________________

Price  $_________________

Postage  $_________________   + Registered (Australia only, recommended)  + $2.00. YES/NO? _______     + Insurance? YES/NO?__________

+ GST (Australia only)  $_________________                  Swift charge Overseas Direct debit only $2.00

TOTAL $________________

SEND ALL FAX'S TO: Within Australia: (03) 956 33023 - International: + 61 - 3 - 95633023