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Purchase American Express Gift Card document sample
Document Sample
Gift Card Order Form
CONTACT US
Ph: 1300 725 159
Fax: 1300 721 361
Monday to Friday, 9am – 5pm
Coles Group Limited ABN 11 004 089 936
TO PLACE AN ORDER
1. If you have not ordered w ith Coles Group & Myer Corporate Servic es before, please complete a Client Registration Form.
Log onto www.gif tcards.com.au/corporate to download a regis tration form or contact Corporate Servic es on 1300 725 159.
2. Complete this order form and fax to Coles Group & Myer Corporate Services on 1300 721 361.
CONTACT INFORMATION * Indicates Required Information
YOUR CONTACT DETAILS
*Title eg. Mr, Mrs
*First Name
* Surname
*Company Name
*ABN
*Department eg. Marketing
*Telephone Min 10 numbers eg. 03 9876 5432
Mobile Min 10 numbers eg. 0417 987 654
*E-Mail
Address Details
* Address Line 1 PO Boxes and Locked Bags NOT accepted
Address Line 2
*Suburb
*State
* Postcode 4 numbers ONLY eg 2000
Purchase Order Details
*Order Date e.g. 01/01/2005
Customer Purchase Order no Optional client ref erence number
DELIVERY INFORMATION
DELIVER ORDER TO:
Same as Contact Details above If y ou check this box y our order will be sent
to the attention of the contact abov e.
*Title eg. Mr, Mrs
*First Name
* Surname
*Company Name
*ABN
*Department eg. Human Resources
*Telephone Min 10 numbers eg. 03 9876 5432
Mobile Min 10 numbers eg. 0417 987 654
Recipient Address Details
Same as Address Details above If y ou check this box y our order
will be sent to the address abov e.
* Address Line 1 PO Boxes and Locked Bags NOT accepted
Address Line 2
*Suburb
*State
* Postcode 4 numbers ONLY eg 2000
Page 1 of 3 Gif t Card Order Form
GIFT CARD ORDER INFORMATION Choose Gift Card type, value and quantity
You can choose either: • The Coles Group and Myer Gift Card.
• A Gift Card from a favourite store. Myer, Target, Kmart, Coles, Coles Express, Vintage Cellars, Liquorland,
Officeworks and 1st Choice.
1. Select Gift Card . 2. Select Gift Card 3. Enter 4. Enter Autom atic
type from list design from list Card $Value Card Quantity $Total
• Click to pull down list, • Click to pull down list, $50.00 x20 $1000.00
then select. then select. $95.00 Double click here for help
x30 $2850.00
• Reset list to Blank if line • So me cards are available
is not required. in one design only.
• Enter the denomination of y our
choice, eg $50.75.
• Min v alue per Card – $5.
• Max v alue per Card – $1,000,000.
• Max card ty pes per order – 10
• Max cards per order – 100,000
Delivery by $14.85 All bulk orders will be delivered t o the
Double Click to Clear Order! courier nominat ed delivery address via courier
once payment is received and cleared.
Final charge and any applicable discounts
Total will be included on your Tax Invoice.
COMPLIMENTARY GIFT CARD PRESENTATION FOLDERS (optional)
Gift Cards are displayed on complimentary DL size Presentation Folders that you can personalise with a message. The Presenta tion Folders are
folded and the Gift Card is affixed to inside bottom portion. Your special message (if requested) is printed on inside top portion. It can be up to
400 characters long (about four lines) and will be applied to all Gift Cards in an order. Complimentary Gift Card Presentatio n Folders can be viewed on-line.
DO NOT SUPPLY complimentary Gift Card Presentation Folders (Applies to all cards in the order)
Personal Message (optional) To customise Gift Card Folders with a personal message please complete the details below. The message will appear exactly
as entered here and displayed on all Gift Card Folders in the order so please check your spelling and grammar carefully.
Please CUSTOMISE complimentary Gift Card Presentation Folders (Applies to all cards in the order)
To e.g. Dear Team
Max. 60 Characters (including spaces)
The word “To” will not be display ed.
Message Max 400 Characters (including spaces).
Characters that exceed this limit will not
be printed on the carrier.
From (Name) Max. 60 Characters (including spaces)
The word “From” will not be display ed.
From (Title) Max. 60 Characters (including spaces)
The word “From” will not be display ed.
TERMS AND CONDITIONS
I hav e read and agree to the Coles Group & My er Gif t Card Order Terms and Conditions, Terms of Use and Priv acy Notice (av aila ble by calling 1300 725 159 or
f rom gif tcards.com.au/corporate). From time to time, registered clients of Coles Group & My er Corporate Serv ices may be sent general inf ormation and special off ers,
which may be of interest. If y ou do not want to receiv e this inf ormation, please call us on 1300 725 159.
*Your Signature: *Date:
Once you have completed and signed this order form please fax it to Coles Group & Myer Corporate Servic es on 1300 721 361.
PAYMENT Your order will be processed and delivered in approximately 5 working days after payment has been cleared.
Please tick the box next to your chosen payment method and complete details if necessary.
Credit Card If paying by credit card please complete your credit card details on the follow ing page.
To protect your privacy we will not retain this information after the order is processed.
After your order is approved and payment processed, you will receive a Tax Invoice via email.
Direct Deposit After your order is submitted, you will receiv e a Tax Invoice (via Email) containing the bank account details for
Coles Group Limited. This order will not be processed until payment is cleared.
Cheque After your order is submitted, you will receiv e a Tax Invoice (via Email) that outlines the Coles Group Limited
cheque payee and address details. This order w ill not be processed until payment is cleared.
Page 2 of 3 Gif t Card Order Form
CREDIT CARD DETAILS
*Credit Card Type We accept Visa, MasterCard, American Express
and Diners Club
*Card Number
*Expiry Date / eg. 09/11
*Security Code The last 3 numbers on the back of y our Visa, MasterCard
or Diners Club card. For American Express this is the 4 digit
number on the f ront of y our card.
* Card Name
*Signature X Orders will not be accepted without the
cardholder’s signature
To protect your privacy we will not retain this information after the order is processed.
After your order is approved and payment processed you will receive a Tax Invoice via e-mail.
Page 3 of 3 Gif t Card Order Form
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