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Priority Fax Order Form



               DATE:  _____/_____/ 20___

             ORDERED BY:   _______________________________________    ORDER No.:  ___________________________
             COMPANY & ADDRESS:   ________________________________________________________________________
              ____________________________________________________________________________________________

              ____________________________________________________________________________________________
              ___________________________________________________    REQUIRED By:      ______/_____/ 20____
             PHONE No.:  _________________________________________    FAX No.  ______________________________
              ___________________________________________________
                 CODE     PG.                    DESCRIPTION                         QTY         PRICE


































             Special Instructions / Suggestions / Comments:  __________________________________________________

              ___________________________________________________________________________________________
              ___________________________________________________________________________________________
             What other products would you like us to hold in stock?___________________________________________

              ___________________________________________________________________________________________





                Sales FREE FAX:                       0800 4 COMAC
                                                      0800 4 26622


            © Co-Mac (P.N.) Ltd 2017





                     PH   +64 (0) 6 350 0015+64 (0) 6 350 0015  PH    0800 33 55 220800 33 55 22  105 Kaimanawa Street
    566              FAX +64 (0) 6 354 2662+64 (0) 6 354 2662  FAX  0800 42 66 220800 42 66 22  PO Box 4
                     Orders - orders@comac.co.nz orders@comac.co.nz   (Prices subject to change without   Palmerston North 4440
                                                 notifi cation. All prices + GST.)  2017  NEW ZEALAND
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