Order Form
1/22 New Street, Nerang,
Qld, 4211, Australia.
Fax 07 5578 3946
 Shipping Address (Daytime - 9am to 5pm)  Billing Address
 Name:
 Name:
 Address:
 Address
 Town/Suburb:
 Town/Suburb:
 State:
 State:
 Postcode:
 Postcode:
 Personal Details
 Home Phone:
 
 Work Phone:
 
 Mobile:
 
 Email:
 

ITEM DESCRIPTION PRICE
Make cheque payable to and mail to:
Guitar World Queensland Pty Ltd.
1/22 New Street, Nerang,
Gold Coast Qld 4211 Australia.
Sub Total  
Freight (contact us for of freight costs) 
Credit Card Surcharge (4% Amex - 5% Diners) 
Total (All prices include GST) 

Payment Type:
Security ID:
(3-digit number
printed on the card)
  _  _  _
Card Number:
 _  _  _  _     _  _  _  _     _  _  _  _     _  _  _  _
 Expiry Date:
Name on Card:
 
 Issuing Bank:

a) I wish to use my ______________________ (write in name of card here) to pay for the above goods supplied by Guitar World.
b) I hereby authorise Guitar World to debit my account with the amount specified above.
c) I Acknowledge that I have read and agree to the terms and conditions and that Guitar World remains the sole owner of goods described in the above and title will not pass until the total of the authorised charges above have been paid in full.
All terms and conditions are governed by the laws of the state of Queensland.
 Cardholders signature:___________________________                     Date:____________
* Please scan or photo copy your credit card and one other form of identification. eg. drivers license, passport. (you must copy the front and  back of your cards, and they must be legible).
* Please print out this form and send it to us by fax, email or post after it is completed.
*Your personal details will remain private and confidential and will not be used for any purpose other  than the processing of this order.