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Order Form - USA and International
Please MAIL, PHONE, FAX or EMAIL your order to:
Masters Medical Pty Ltd - Suite 505, Level 5, Westfield Office Tower, Parramatta NSW 2150
Sydney AUSTRALIA 
Ph: 011 612 9689 3655 Fax: 011 612 9689 2866
Date:  | _ _ _ _ /_ _ _ _ /_ _ _ _ |
Name: | _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ _ _ _ _ _ _ _ _ _ _ __ _ _ _ _ _ _ _ __ _ _ | 
Street: | _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ _ _ _ _ _ _ _  _ _ __ _ _ _ __ _  |
City:   | _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ _ _ | Phone: | _ _ _ _ _ _ _ _ _ _ _ _  _ _ _ _ _ |
State:  | _ _ _ _ _ _ _ _ _ _ _ _ | Fax:   | _ _ _ _ _ _ _ _ _ _ _ _ _ _ _  _ _ | 
Postcode: | _ _ _ _ _ _ _ _ _ _ _ _ | Email:  | _ _ _ _ _ _ _  _ __ _ _ _ _ _ _ _ |
Description ( Click on item for more detail) Unit Price
$AUD1
Unit Price
$USD1
QTY  Total 
TENS Machines      
Spectrum II TENS Machine  285.00
171.00
   
Comtens TENS Machine 165.00
99.00
   
Epix-XL TENS Machine 495.00
297.00
   
Spectrum Max-SD TENS Machine  495.00
297.00
   
Accessories      
Recharger Kit, two batteries and recharger  70.00 42.00    
Electrodes - Pals Flex, 5cm x 5cm, 4/pkt  18.00  10.80    
Other Items      
       
Delivery      
Courier - Overseas Courier Service.
 
38.00 22.80   25.00
or - Airmail 15.00 9.00 9.00
====.==
TOTAL
Credit Cards are actually charged in Australian dollars. If your credit card account is in an another currency, say $USD, then the amount in $AUD is converted to $USD at current exchange rate. These $USD prices are given as a guide only ( at $USD0.60 = $AUD1.00). For term and conditions.
Payment Details :
Credit Card  Cheque
Credit Card Particulars: Visa  M'card  Bank Card 
Name on Card: 
Card No: | __| __| __| __| |__ | __| __| __| | __| __| __| __| | __| __| __| __| 
Expiry Date: | __| __| / | __| __|
Signature: