Christmas Hamper Order Form

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							                                                                             Christmas Hamper Order Form
                                                                                                                                   ABN 13 646 234 456
                                                                                                               1/36 Windorah St, Stafford. Qld.4053.
                                                                                                          Ph: (07) 3356 4033 Fax (07) 3356 4088
                                                                                                                         Email: sales@breakofday.biz
                                                                                                                          Web: www.breakofday.biz
                                                                                                                 .O.
                                                                                                                P Box 51, Everton Park. Qld. 4053.



                      Ordered By

                      Company Name

                      Phone No                                                          Fax No

                      ABN                                                               Delivery Date Required

                      Email Address

                       Recipients Name                                                         Phone No
                       Company Name ( If Required)
                       Address




                       Hamper Name                                                             Quantity
                       Message on Card




                       Recipients Name                                                         Phone No
                       Company Name ( If Required)
                       Address




                       Hamper Name                                                             Quantity
                       Message on Card




                      If more than 2 recipients, please send an Excel spreadsheet to sales@breakofday.biz with details of all recipients.

                      PAYMENT
                      Direct Deposit – NAB, BSB: 084-283, Acc:049962251, Acc Name: Break of Day. Fax Remit. to 07 3356 4088
                      Cheques - Please make cheques payable to: Break of Day Gift Baskets
                      Credit Card             Master Card                     Visa                         Amex                     Diners

                      Cardholders Name                                                  Signature

                      Card Number                                                                   Expiry Date ________ /________

                                                             Please Fax to (07) 3356 4088
                                                                      Guide to Freight Charges
                                                Brisbane, Toowoomba, Gold & Sunshine Coasts, $14 per destination
                                             Interstate & Regional Queensland, up to $149 in value, $17 per destination
BOD_Orderform_Nov08




                                                                 Hampers $150+ $26 per destination
                        We will confirm receipt of your order and advise you of the total cost of your order including the total freight charges.
                                                      All Prices are GST Inclusive. A Tax Invoice Can Be Supplied