PLEASE PRINT ME Fausts IGA Supermarket - Order Form

Fausts IGA Supermarket - Order Form

Phone:

07 4945 3470

     

Fax:

07 4945 4339

     

Email:

faustssupermarket@bigpond.com

     

Address:

Mill Street Proserpine

 

Date:

 

Web Site: www.igaproserpine.com

     
     

Substitute

 

Qty

Size

Description

Yes/No

Comments

Dry Grocery

         
           
           
           
           
           
           
           
           
           
           
           
           
           
           
           
           
           

Frozen & Dairy

         
           
           
           
           
           
           
           
           
           
           
           

Surcharge of 5% or minium of $5.00 applies to each order

     

Fausts Supermarket takes no responsibility for damages to any product once it has been collected by the transport company

Deliveries to Hamilton Island: Tues / Wed /Thurs / Fri - Order by 10:00am the day prior - $3.50 / per box freight charge

Delivery Date:

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Type of Card:

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Name on Card:

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Card Number:

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Expiry Date:

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Address:

 

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Signature:

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Phone No:

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Fausts IGA Supermarket - Order Form

Phone:

07 4945 3470

     

Fax:

07 4945 4339

     

Email:

faustssupermarket@bigpond.com

     

Address:

Mill Street Proserpine

 

Date:

 

Web site:- www.igaproserpine.com

     
     

Substitute

 

Qty

Size

Description

Yes/No

Comments

Meat

         
           
           
           
           
           
           
           
           
           
           
           
           
           

Fruit & Vegetables

         
           
           
           
           
           
           
           
           
           
           
           
           
           
           
           
           
           
           
           

Surcharge of 5% or minium of $5.00 applies to each order

     

Fausts Supermarket takes no responsibility for damages to any product once it has been collected by the transport company

Deliveries to Hamilton Island: Tues / Wed /Thurs / Fri - Order by 10:00am the day prior - $3.50 / per box freight charge

Delivery Date:

??????????????????.

   

Type of Card:

??????????????????.

Name on Card:

?????????????????.

Card Number:

??????????????????.

Expiry Date:

?????????????????.

Address:

 

??????????????????.

Signature:

?????????????????.

   

??????????????????.

Phone No:

?????????????????.