ORDER FORM for NEW BATTERIES Item or reference number Quantity Order value DELIVERY INSTRUCTIONSName AddressPost code Phone number Email address Purchase order No if requiredDate PAYMENT OPTIONS Credit card To use your Visa or Master Card click the PAYMATE express payment logo. A new secure window will open and your payment can be processed. Once you have made your payment click the order button below. Cheque Complete and Print this form and send it to RECELL with your cheque made payable to RECELL LTD.Your order will be shipped when the funds have been cleared. Direct Credit Our bank account details are: RECELL LTD The National Bank 06 0433 0313870--00Your order will be shipped once the funds have been deposited into our account. Account customer New customers - If you require a credit account please complete a credit application form. Our terms are 20th day following month of invoice, we reserve the right to charge interest on late payments. Please check this box to show you agree to our payment termsYou can now either print this order and post to us with your cheque, or if you are paying by Direct Credit , Visa or on Account just press the Order button to send your order RECELL LTD, PO Box 932, Nelson, 7040
Item or reference number Quantity Order value
Name
Address
Post code
Phone number
Email address
Purchase order No
Date
PAYMENT OPTIONS
Credit card
Cheque
Complete and Print this form and send it to RECELL with your cheque made payable to RECELL LTD.
Your order will be shipped when the funds have been cleared.
Our bank account details are: RECELL LTD The National Bank 06 0433 0313870--00
Your order will be shipped once the funds have been deposited into our account.
Account customer
You can now either print this order and post to us with your cheque, or if you are paying by Direct Credit , Visa or on Account just press the Order button to send your order
RECELL LTD, PO Box 932, Nelson, 7040