Classic Motor Bikes: Order Form

Order for Vincent Parts from
Classic Motor Bikes / Terry Prince Vincent
1805 Wollombi Road
St Albans NSW 2775 Australia

telephone 02 4568 2208	international telephone +61 2 4568 2208
24 hr fax 02 4568 2096	international fax +61 2 4568 2096

Quantity Item Number Description Cost in Au$

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..Total in Australian dollars
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*Note: Shipping costs will be added to this total
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Name:................................................................................................................................

Address:............................................................................................................................

..........................................................................................................................................

Method of Payment: Cheque or

Bankcard Visa Masrtercard

Expiry Date:........./........./.......

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Name on Card:.....................................................Signature:................................................................

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