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QUEENSLAND RIFLE ASSOCIATION Inc Q STORE ORDER FORM Phone
(07) 3843 5377 Fax (07)
3395 2777 |
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From (Club name) ……………………………………………………………………………… For delivery to (Address) …………………………………………………………….……………….. ……………………………………………………….…………….………… . Delivery Mode q Mail q Pick up q Other (specify) ………………………………………………………………………………… Authorised by (Name
please print) ..……..…………………………………………………………………. . Signature ……………………………………… Date ……………………….….… Phone Contact Home ………………….. Mobile ....………………………… Work .……..………..…………… (It will facilitate stores issues if you can
provide business and after hours numbers) |
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Quantity |
Item Name |
Unit Cost (If
known) |
Total Cost |
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PLEASE
MAKE CHEQUES & MONEY ORDERS PAYABLE TO QUEENSLAND
RIFLE ASSOCIATION INC |
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Office Use
Only |
Received |
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Dispatched |
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Invoice/Receipt |
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