C. FULTON PTY LTD
BUILDING AND GARDEN SUPPLIES
15-19 HALL ST EAST HAWTHORN 3123
PH 9822 3041
ABN 34 006 077 710
www.cfulton.com.au

FAX ORDER FORM

FAX ORDER TO – 9822 4951
DELIVERY DATE ________________________________PREF. TIME  AM/PM (please circle)
NAME ________________________________________________
DELIVERY ADDRESS ________________________________________________
________________________________________________
CONTACT NUMBER ________________________________________________
PAYMENT METHOD
CREDIT CARD VISA       MASTERCARD  
CREDIT CARD NUMBER
________
________
________
________
EXP: ___/___
CASH ON DELIVERY
PLEASE NOTE: A DELIVERY FEE WILL APPLY TO ALL ORDERS
PLEASE LIST YOUR ORDER BELOW – PLEASE INCLUDE QUANTITIES OR MEASUREMENTS AS APPLICABLE eg: 1 CUBIC METRE TOPSOIL
 QTY  
 MEASURE             
 PRODUCT                                                           
      PRICE       
Eg1 METRE TOPSOIL $38.00
DEL. FEE $
______
TOTAL $
______