QUEENSLAND RIFLE ASSOCIATION Inc

PO Box 38, Carina Qld 4152

Q STORE - STORES ORDER FORM

Phone 07 3843 5377              Fax 07 33952777

qstore@qldrifle.com

 

From                           ………………………………………………………………………………

(Club name)

For delivery to             …………………………………………………………….…………………

(Address)

                                    ……………………………………………………….………………………

 

Delivery Mode q   Post                                 q   Rail                                   q   Other

(specify)             -----------------------------------------------------------------------------------------

 

                                    ………………………………………………………………………………….

 

Authorised by (Name please print)                 ……………………………………………………….

 

Signature         …………………………………………...         Date    ……………………………….

 

Phone Contact            Home  ……………………………                   Work   ……………………………….

                                                (It will facilitate stores issues if you can provide both business and after hours numbers)

 

Quantity

Item Name

Unit Cost

(If known)

Total Cost

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

PLEASE MAKE CHEQUES & MONEY ORDERS PAYABLE TO

QUEENSLAND RIFLE ASSOCIATION INC

 

 

Office Use Only

Received

 

 

Dispatched

 

 

Invoice/Receipt