®

and Lemax Collectibles


Telephone 55375511 or Fax (617 International) (07 Australia) 55377654
Post Office Box 600 Runaway Bay Queensland 4216 Australia

ORDER FORM

  

Enter details of the item such as item number, brief description, the quantity required and the price as listed then simply click on
 "Place Your Order".
Or just fax, post, or E-mail us with your choice of products

Item Description of Item Qty Price Each Total
Postage by Receipted Delivery (Trackable) at cost, we do not charge for packaging.
International delivery prices.....please ask
Please complete the following delivery / contact details: 

     Name: E-Mail:    
 Address1: Address2:
 City: State: Post/Zip Code:Country:
 Phone No: 	Fax No:



Please complete the following if paying by Credit Card:

MASTERCARDVISA
   CARD No---
   EXPIRY DATE CCV Number 
CARDHOLDER NAME	

Card Holders Signature_______________________________	DATE

Lemax Accessories

Lemax Buildings

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