Dealer Code:

Units and GST receipt will be sent to the address below, or please state delivery address if different

Order to Supplier: OCEAN CRAFT PO Box 3791 DC CALOUNDRA QLD 4551 Australia Tel: 07 5499 6937 Ph: 0416 293 686 Fax: 07 3102 6284 Int'l Tel: +61 (0)7 5499 6937 Int'l Ph: +61 (0)416 293 686 Int'l Fax: +61 (0)7 3102 6284 sales@oceancraft.com.au

I enclose cash or cheque for Or I prefer to pay by VISA MASTERCARD Bank Cheque Cheque with order Please make cheques payable to Michael N Jessop Cash on delivery Internet Electronic Funds Transfer to BSB: 014 – 531 Account: 5057 6268 4 Funds Transfer to BSB: 014 – 531 Account: 5057 6268 4 International Letter of Credit Bank Guarantee Money Order International Money Order Credit Card Please Insert Name on Card Credit Card Number Expiry Date MM/YY CRC Code Name / Company Address Post Code Daytime Tel No. Signature

Quantity	Detailed Description of Goods	Unit cost	Total $AUD
Order No.		Sub Total
Dealer Reference	Your Reference	Delivery & Ins.
Signed	Dated	GST
		Total