TALL JEANS ORDER FORM TALL JEANS PO BOX 202 PENNANT HILLS NSW 2120 AUSTRALIA	Please either print this page or download our Microsoft Word Order Form. For instructions regarding ordering by fax, mail or telephone, see the Ordering and Shipping Information page, or contact sales@talljeans.com.au for assistance.
	PH: 61 2 9980 2099 FAX 61 2 9980 2199

CODE	DESCRIPTION	QTY	SIZE	COLOUR	PRICE	TOTAL

NAME: ………………………………………………………….

ADDRESS:……………………………………………………..

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STATE…………………….. POSTCODE……………………

COUNTRY……………………………………………………

In case we need to contact you.
(optional)

PH……………………………………..

FAX …………………………………...

EMAIL ………………………………...

PAYMENT OPTIONS (circle)

VISA MASTERCARD AMERICAN EXPRESS BANKCARD INTERNATIONAL BANK DRAFT - (enter details below)

(AUSTRALIAN DOLLARS) CHEQUE

(AUSTRALIAN DOLLARS)

CREDIT CARD NUMBER ………………………………………

EXPIRY DATE ……………………

CARDHOLDERS NAME……………………………………….

SIGNATURE …………………………………………………….

Web Site: http://www.talljeans.com.au
Email:sales@talljeans.com.au

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