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Lyndon Mercantile Pty Ltd PO Box 488 Moorebank NSW 1875 Australia |
tel: +61 2 9822 7797 fax: +61 2 9822 7779 www.lyndonkids.com |
This form is meant for registered Lyndon retailers. Fill in your order and customer number, then fax it to Lyndon on +61 2 9822 7779. We will contact you to confirm prior to dispatch. |
| Style Number | Story/Description | Colour | Size | Price | Quantity |
| TOTAL | |||||
| Purchaser Information | Delivery Information |
|
Business Name Your Name Customer Number (retailers): Phone: Email: Address: City: State: Post Code: Country: |
[ ]
Same as Purchaser
Name: |
| Payment | Enter Payment Details Below |
|
[ ] Credit Card [ ] Cheque (Australian only) [ ] Postal Order in Australian dollars [ ] International Money Order [ ] Account (retailers) |
|
| Comments | Today's Date |
| / / | |
| Message to the delivery address | Signature |
| www.lyndonkids.com | |