MICROTONNER
Order Form

B & G yacht design

E-mail - info@yachtdesign.com.au

To acquire the plans for the Microtonner, please print this order form, fill it in and send it to us on line, by fax or mail. The payment can be done by credit card or by a deposit in our bank account.
THE PLANS WILL BE POSTED BY EXPRESS MAIL SERVICE WITH NO ADITIONAL COSTS.
Name:

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Address:

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City:

___________________________

 State:

_________________________________
Country:

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 ZIP:

________________________________

phone:

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 fax:

_________________________________
e-mail:

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Choose payment form:
  Deposit in account
  Credit Card
 
Option 1: Deposit in account

ANZ Bank
BSB 016141
Account Number 9099 94406
Branch add. - Melville Plaza 380 Canning Highway, Melville, WA 6156
Swift Code - ANZBAU3M
date of the deposit:

_________________________________

 number of the deposit:

____________________________________
  value to be paid:
Option 2: Payment by creditcard:
  Visa (Id. Code:____________)
  American Express (Id. Code:____________)
card number:

______________________________________

 expiration date:

_______________________________________
value to be paid:
 signature:

______________________________________________________
WARNING
These building plans are copyrighted and its reproduction, or the reproduction of its parts by any form without the previous and written consent of the copyright owner is expressly prohibited and subject of the criminal and/or civil provisions of the Brazilian copyright laws and the international copyright treaties.

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(Signature)