HOLDEM Order Form


	Order Form


	Don't be too concerned about the information you give, as we will contact you to confirm your order.


	Item Description:


	Fitting Equipment:

When calculating number of freight items exclude fitting equipment.


	Freight:

(Please type in your Sub Total)


	Sub Total:


	(Sub Total x 12.5% = GST) GST:


	Total:


	Name:


	E-mail:


	Home Ph:


	Work Phone:


	Address:


	Method of Payment

Visa

MasterCard

Cheque

BarterCard


	Exp. date:


	Credit Card Number:


	Name on Card:

Direct Credit

Our ASB Bank A/C is:12-3115-0115194-00


	Special Instructions:


	If you have any problem submitting this form please email us your request by clicking here onlinehelp@holdem.co.nz or call our online help office between 8 am & 6 pm week days on Free Phone: 0800 11 48 55


	HOLDEM Home Page \| HOLDEM Products \| HOLDEM Information \| HOLDEM Order Form


	Phone: 09 437 2510 Free Phone: 0800 114 855 Fax: 09 437 2588 International Phone: 0064 9 437 2510, Fax: 0064 9 437 2588 Email: talk-to-us@holdem.co.nz


	Holdem Cattle Handling Equipment Ltd. 6/6 Deveron Street Whangarei New Zealand


	Copyright © 2001 Holdem Cattle Handling Equipment Ltd. All rights reserved