ANZ ORDER FORM

DIRECTORY & DATABASE OF AUSTRALIAN & NEW ZEALAND CHEMICAL MANUFACTURERS & WHOLESALERS

ORDER FORM

Prices for the Directories are given in US$ and AUD$ for delivery to Australia, New Zealand and All other places. To order select your Delivery location, this will indicate the price of the Directory. Payment may be made by Bank Draft in US$ or AUD$, by credit card in AUD$, or by electronically transferred funds. Fill out all delivery and payment details and send it to the:

CHEMICAL ADVISORY SERVICE
PO BOX 38, VERMONT 3133, AUSTRALIA
PH +61 3 9873 5760 or Fax +61 3 9873 5568
Email : cas@cas.com.au

Directory & Database Of Australian & New Zealand Chemical Manufacturers & Wholesalers

ANZ DIRECTORY &

ANZ DATABASE CD-ROM <

DELIVERY LOCATION PRICE US$ PRICE AUD$ PRICE US$ PRICE AUD$

Australia
(Includes 10% GST)
$ 150.00 $ 187.00 $ 198.00 $ 247.50

New Zealand $ 160.00 $ 200.00 $ 196.00 $ 245.00

All other places $ 184.00 $ 230.00 $ 204.00 $ 255.00

NOTE

Australian delivery Directory price is AUD$170.00 plus AUD$17.00 being 10% GST

Australian delivery Database price is AUD$225.00 plus AUD$22.50 being 10% GST

Payment by Bank cheque or draft to "Chemical Advisory Service" AUD$ must be drawn on a Bank in Australia, US$ must be drawn on a bank in USA

Company cheques in AUD$ are accepted in Australia

Electronically transferred funds to our Bank details below

Visa, MasterCard and American Express payment will only be accepted in Australian dollars

All prices quoted include certified delivery by Air courier (Road courier in Australia)

Orders are to be accompanied by payment, Our ABN is 32 160 031 749

PLEASE SUPPLY: No of COPIES DELIVERY LOCATION PAYMENT AMOUNT

& Directory Of ANZ Chemical Manufacturers

< Database Of ANZ Chemical Manufacturers

We enclose our cheque for US $ ........................ or AUD $........................

Electronic funds transfer to:

AUD$ or US$ Chemical Advisory Service

Australia and New Zealand Banking Group

540 Whitehorse Road, Mitcham 3132

Victoria, Australia

BSB - 013:384, Account - 2532 43457

Select Credit Card o o o

Cardholder’s name:

Card No: __ __ __ __ / __ __ __ __ / __ __ __ __ / __ __ __ __ ID No. ________ Expiry Date: ______/______

Cardholder’s signature:

DELIVERY ADDRESS

CONTACT NAME....................................................................................POSITION..................................................................................

COMPANY..................................................................................................................................................................................................

STREET ADDRESS....................................................................................................................................................................................

...............................................................................................................COUNTRY....................................................................................

TELEPHONE...........................................................................................FAX..............................................................................................