Auto Parts Order Form by ffi62054

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post to us.
                                                                                     Model A Parts
                                                                                   Ford parts 1909 - 1948
        ORDER FORM                                                                                      Roger Anderson
                      Consign to:                                                         PO Box 7213 Taradale, Napier
                                                                                    •Ph 06 844 3324 •Mobile 021 448183
                                                                                                       •Fax 06 8443590
                                                                                        •Email modela.tparts@xtra.co.nz
                                                                                          •www.model-a-autoparts.co.nz



   Phone:                                                                       Order
   Mobile:                                                                      Date:
    Fax:                                                                       Delivery
   Email:                                                                       Date:

 Qty               Code No                                       Description                                              Price




                                                          Minimum Courier Charge:                                        $4.00
                                                                       GST 12.5%:
                                                        (Payment enclosed) inTotal:
AUTHORISED BY:                                                           NAME: (print)

TERMS AND CONDITIONS:
All orders must be pre-paid. Larger items may attract a higher courier charge. Price subject to change without notice.
Insurance buyers care if any.

								
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