----------------------------------------------------------------------- C.O.D. POST ORDER FORM (Rev 1.01) ----------------------------------------------------------------------- - Notes: 1) This form is to be used for Postal C.O.D. orders only. 2) We do NOT accept first time customer orders on COD. 3) We do NOT accept Postal C.O.D. orders for International orders. 4) This order MUST be FAXED TO 03-96905331 or POSTED back to us WITH THE SIGNATURE OF RESPONSIBLE PERSON clearly shown. DELIVERY ADDRESS AND DETAILS: NAME/ORGANISATION/BUSINESS_____________________________________________ CONTACT PERSON IF BUSINESS_____________________________________________ STREET AND NUMBER OR PO BOX____________________________________________ SUBURB_________________________________________________________________ STATE__________ POSTCODE________ CONTACT PHONE NUMBER (WORK)_________________ (HOME)____________________ CONTACT FAX NUMBER (IF AVAILABLE)(WORK/HOME)____________________ EMAIL ADDRESS (IF AVAILABLE):__________________________________________ NAME OF PERSON ORDERING:_______________________________________________ SIGNATURE OF PERSON ORDERING:__________________________ TODAY'S DATE: ____/____/________ DD / MM / YYYY AMOUNT OF ORDER (POSTAL CHARGES WILL BE ADDED): $___________________ I hereby authorise Infosat to ship the ordered goods via Post by COD. I agree to accept and pay all Postal delivery and Insurance Charges in addition to the amount due for the goods ordered. I agree to the Infosat terms and conditions of trade as displayed at www.infosat.com.au/order I understand that this order is irrevocable and that I am liable for all charges incurred in relation to this order. Including any legal costs if I refuse to accept the COD delivery and payment and that I am liable accordingly. I shall accept delivery and pay as required by Australia Post. ---------------------------------------------------------------------- ORDER DETAILS OF GOODS OR SERVICES: ---------------------------------------------------------------------- For enquires contact: Infosat Tel: 03-96998844, Fax: 03-96905331, Email: infosat@micronica.com.au Web: www.infosat.com.au 184 Napier Street, South Melbourne, 3205, Victoria, AUSTRALIA