Busteed Building Supplies - Fax Order Form

ABN: 25 063 928 334 Monday, 05 September 2005

Contact Us

Ken O'Dowd Pty Ltd
Trading As
Busteed Building Supplies
ABN 25 063 928 334
4 Side Street
GLADSTONE QLD 4680
Phone:(07) 4972 2080 Fax:(07) 4972 5083

Please print our form and fax your order or to make any further enquiries regarding any of our products. We will respond to your request and/or confirm your order within 1 working day. Please indicate how you would like confirmation at the bottom of the form. Along with confirmation of your order, you will receive an Invoice and acknowledgement of payment arrangements.

Contact Details:

Order #:______________________

First Name:_________________ Last Name:__________________

Business/Company Name:___________________________

Address:_______________________________

City:_____________________________ State:_____ P/Code:________

Phone #(B/hrs):_________________ Mobile #:____________

Email Address:______________________________

Delivery Address:________________________________________________________

Product/s Required:

Product Description: (Include quantity, measurements & Colour/Style)

Date Ordered:__________________

Date Goods Required by:___________________

Method of Payment: Cash/Cheque Credit Card Approved Account Direct Debit

Please select how you would like order confirmed: Return Fax Phone Email

Please read our "Purchasing Procedures" prior to ordering in regards to payment arrangments!

EFTPOS facilities are available

Comments/Questions?:

You can fax your order to 07 4972 5083

Ken O'Dowd Pty Ltd
Trading As
Busteed Building Supplies
ABN 25 063 928 334
4 Side Street
GLADSTONE QLD 4680
Phone:(07) 4972 2080 Fax:(07) 4972 5083