CC Corporate Order Form

Document Sample
CC Corporate Order Form Powered By Docstoc
					                                                                                                                                               Skin Health Pty Ltd
                                                                                                                                               ABN: 76 098 370 195
                                                                                                                                               Leverl 2, 691 Burke Road
                                                                                                                                               Camberwell, VIC 3124
                                                                                                                                               Ph: 61 3 9861 7000
                                                                                                                                               Fax: 61 3 9882 6058


Corporate Direct Order Form
                        PLACE YOUR ORDER BY FAX: 03 9882 6058 OR EMAIL: daniela@skinhealth.com.au
Date:                                                                                          Purchase Order No:
Order Placed by:
Requested Delivery Date:                                                                       Shipping Method:              Collect           Ship
BILLING DETAILS                                                                                SHIPPING DETAILS
Name:                                                                                          Name:
Address:                                                                                       Address:


Contact Person:                                                                                Contact Person:
Telephone:                                        Fax:                                         Telephone:
Email:

   Product                   Description                                    Units     RRP         Corporate Cost          Corporate Cost        Shipper               Total
    Code                                                                     per       per           per unit              per shipper            Qty                 Cost
                                                                           Shipper    Unit         STANDARD                STANDARD
S-004-UL-LB      4gm Lip Balm - Ultra                                         96      $5.95               $2.82                $270.72
S-035-ED-TR      35ml Traveller Tube - Everyday                               60      $5.50               $2.68                $160.80
S-075-ED-RO      75ml Roll-On - Everyday                                      24      $10.30              $3.91                 $93.84
S-075-UL-RO      75ml Roll-On - Ultra                                         24      $10.30              $3.91                 $93.84
S-050-ED-EC      50ml Ezi-Clip - Everyday                                     48      $9.45               $4.88                $234.24
S-050-SP-EC      50ml Ezi Clip - Sport                                        48      $9.45               $4.88                $234.24
S-050-IR-EC      50ml Ezi Clip - Repel (plus Insect Repellent)                48      $9.45               $4.88                $234.24
S-110-ED-TU      110ml Tube - Everyday                                        24      $11.95              $4.64                $111.36
S-110-UL-TU      110ml Tube - Ultra                                           24      $11.95              $4.64                $111.36
S-110-SP-TU      110ml Tube - Sport                                           24      $11.95              $4.64                $111.36
S-110-IR-TU      110ml Tube - Repel (plus Insect Repellent)                   24      $15.50              $7.00                $168.00
S-110-CL-TU      110ml Tube - Classic (plus Clear Zinc)                       24      $15.50              $7.00                $168.00
S-110-MI-TU      110ml Tube - Mineral (plus Mineral Zinc Oxide)               24      $15.50              $7.00                $168.00
S-110-AC-TU      110ml Tube - Active (plus Mineral Silica)                    24      $15.50              $7.00                $168.00
S-500-IR-PU      500ml Pump - Repel (plus Insect Repellent)                   12      $26.45              $16.00               $192.00
S-001-ED-PU      1L Pump - Everyday                                            6      $36.35              $16.96               $101.76


Comments:                                                                                      Total Cost
                                                                                               Freight (incl. GST)
                                                                                               Balance Due
Please call Daniela to discuss any further discount for orders over $5000 on (03) 9861 7030 direct.

PAYMENT OPTIONS

Direct Deposit to:                       ANZ Bank
                                         BSB. 013 247                                Account No. 7770 178 48

Credit Card:                                VISA                                     Mastercard
Credit Card No.                          _ _ _ _ / _ _ _ _ / _ _ _ _ / _ _ _ _ Expiry Date: _ _ / _ _
Full name on credit card:                ____________________________________

    Would you like to receive notification of further product development and/or special deals?
The Cancer Council Corporate (Non-Retail) Sunscreen Range Guidelines
    -         Minimum order value of $1,200, plus $40 freight (inclusive of GST)
    -         Neither the Cancer Council logo nor the Skin Health logo is to be used in any form without prior consent and approval from Skin Health
    -         No Cancer Council Sunscreen products are to be stickered, covered or altered in any way by any company
    -         All Cancer Council products are being purchased to be used for socially responsible promotional purposes only and shall not be re-sold
    -     By signing this order form and committing to place an order for Cancer Council Sunscreen directly from Skin Health Pty Ltd, indicates agreement to
           maintain in strict confidence the pricing structure quoted and applied to this transaction and acknowledge that any disclosure of this commercial
           information to any party could be damaging to Skin Health Pty Ltd and is strictly prohibited

I acknowledge and agree with the above guidelines as part of our order.


_________________________________________                ___________________________________              ___________________________        ________________
                ORGANISATION NAME                                   RESPONSIBLE PERSON                               TITLE                             DATE
                                                                          (PRINT NAME)



_________________________________________                ___________________________________               ___________________________         ________________
                                                                        SIGNATURE

				
DOCUMENT INFO
Shared By:
Categories:
Stats:
views:6
posted:3/14/2010
language:English
pages:1
Description: CC Corporate Order Form