SCOTT'S OLD AUTO RUBBER. Tax Invoice. ABN: 29 609 792 234
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
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: 633000 Account number: 156432452
Account in the name of: Scott's Old Auto Rubber Pty Ltd 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 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 or EMAIL  the form below with your details to: Within Australia: 0395453222 - International: + 61 - 3 - 9545 3222
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,  Postal Address : 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)
 

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:___________________________________________________________________________________


Number___ Part  no./description__________________________________________ Price  ea $_________ Total $______

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Number___ Part  no./description__________________________________________ Price  ea $_________ Total $______

Number___ Part  no./description__________________________________________ Price  ea $_________ Total $______

Number___ Part  no./description__________________________________________ Price  ea $_________ Total $______

Number___ Part  no./description__________________________________________ Price  ea $_________ Total $______

Number___ Part  no./description__________________________________________ Price  ea $_________ Total $______

Number___ Part  no./description__________________________________________ Price  ea $_________ Total $______

Number___ Part  no./description__________________________________________ Price  ea $_________ Total $______

Number___ Part  no./description__________________________________________ Price  ea $_________ Total $______

Number___ Part  no./description__________________________________________ Price  ea $_________ Total $______

Number___ Part  no./description__________________________________________ Price  ea $_________ Total $______

OTHER ITEM_____________________________________________________

Price  $_________________

Postage  $___________(ask for quote)   + Registered (Australia only, recommended)  + $2.95. YES/NO? _______     + Insurance? YES/NO?__________

Swift charge Overseas Direct debit only $2.00

TOTAL $________________

SEND ALL emails to, scott@scottsoldautorubber.com.au