CREDIT CARD AUTHORITY FORM

 

Your authority is required to allow AA Fibreglass Supplies or AA Fibreglass Supplies (NSW) to debit your credit card for payment due.

 

Please complete this credit card authority and fax it back to AA Fibreglass Supplies or AA Fibreglass Supplies (NSW) on facsimile number QLD 07 38930416 NSW 02 49546056 (International QLD +61 7 38930416  NSW +61 2 49546056).

 

If this authority is completed and returned via email without signature rather than faxed, the received emailed document will be deemed as your authority to deduct the amount from your nominated credit card.

 

This authority must be completed before products can be forwarded to you.

 

  

CREDIT CARD – Please enter details below:

AA Fibreglass Supplies and AA Fibreglass Supplies (NSW) accepts payment via Visa, Mastercard, Bankcard as well as 'Bartercard' and 'BBX' trade dollars (Australia only).

 

·          1.4% service fee applies to payments via Visa, Mastercard and Bankcard.

·          Only when applicable, a 10% GST (Goods and Services Tax) may apply within Australia (Tax free for outside Australia)

 

I authorise AA Fibreglass Supplies or AA Fibreglass Supplies (NSW) to debit the following credit card as payment for products or services purchased through AA Fibreglass Supplies or AA Fibreglass Supplies (NSW).

 

Type of card:

 

Name on Card:

 

Card number:

-

-

-

 

Expiry Date:

/

 

Security Pin No.:

  The Security Pin Number is the last 3 numbers located on the back of the Credit Card

Amount:

$

 Please note a service fee or 1.4% and / or 10% for GST as outlined above may need to be added to the debited amount.

 

Signature:

Date:

 

AA Fibreglass Supplies - in Queensland: 48 Wyuna Court, Hemmant. Queensland 4174. Australian phone: 07 38932037 fax: 07 38930416  International phone: +61 7 38932037 fax: +61 7 38930416 email: info@aafibreglass.com Web site: www.aafibreglass.com Bank: ANZ - BSB: 014285  Account Number: 253345736

AA Fibreglass Supplies (NSW) - in New South Wales: Unit 1, Number 4 Pennant Street, Cardiff. New South Wales 2285. Australian phone: 02 49546054 fax: 02 49546056  International phone: +61 2 49546054 fax: +61 2 49546056 email: info@aafibreglass.com Web site: www.aafibreglass.com Bank: ANZ - BSB: 014285  Account Number: 492530007