Fax

To:

CATALINA AUSTRALIA

From:

 

Fax:

07 5514 8543

Boat Model:

 

Phone:

07 5514 8541

Boat Year:

 

Re:

PARTS ORDER

Hull Number:

 

Date of Fax:

 

Phone No:

 

 

 

PLEASE SUPPLY THE FOLLOWING PARTS:

 

 

CODE NUMBER

DESCRIPTION

PRICE

 

 

 

 

 

 

 

 

 

 

Please allow for postage

 

 

 

 

CREDIT CARD AUTHORISATION

Credit Card:  AMEX VISA MASTERCARD

 

                               

Name on credit card:

 

 

Number:                        _________________________________________

 

 

Expiry Date:                  _________________________________________

 

 

Signature:                     _________________________________________

 

 

Delivery Address:

 

                                    _______________________________________________________

 

                                    _______________________________________________________

 

                                    _______________________________________________________