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                      C.O.D. POST ORDER FORM (Rev 1.04)
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- Notes:
1) This form is to be used for Postal C.O.D. orders only.
2) Add $38.50 Inc GST to the order value to cover our COD labour cost.
3) We do NOT accept first time customer orders on COD.
4) We do NOT accept Postal C.O.D. orders for International orders.
5) This order MUST be FAXED TO 03-96905331 or POSTED back to us WITH
THE SIGNATURE OF RESPONSIBLE PERSON clearly shown.
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ORDER DETAILS OF GOODS OR SERVICES AND ANY SPECIAL INSTRUCTIONS:





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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:                                    $
ADD COD HANDLING CHARGE:                            $             38.50
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TOTAL (POSTAL CHARGES WILL BE ADDED BY POST OFFICE):$
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I hereby authorise Micronica 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 MICRONICA terms and conditions of trade as displayed at
www.micronica.com.au/order
I understand that this order is irrevocable and non-refundable 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.
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For enquires contact: Micronica Tel: 03-96998844, Fax: 03-96905331
Email: micronica@micronica.com.au, Web: www.micronica.com.au
184 Napier Street, South Melbourne, 3205, Victoria, AUSTRALIA
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