ORDER FORM FOR

CONNOLLY CONCENTRATED LEATHER CLEANER $14.95 + $4.95 Shipping to anywhere in Australia, inc GST. Total Aus $19.90 

This is an explanation of the purpose of the form ...

Please provide the following ordering information:

QTY DESCRIPTION
CONNOLLY CONCENTRATED LEATHER CLEANER 500ml Bottle 
BILLING
Credit Card
Cardholder Name
Card Number
Expiration Date

SHIPPING
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country

 

Email: sales@leffler.com.au

Address: 171 Kensington Road West Melbourne Vic 3003, Australia

Freecall: 1800 337 006

Fax +61 03 9090 4500

Send e-mail to sales@leffler.com.au with questions or comments.  
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 H. Leffler & Son Pty Ltd,  Last modified: Dec 30, 2007

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