Computer TeleVision Order Form

Please fill in this order form if you would like us to rush your order to you today.

Microsoft Communique members receive a 10% discount of any of our products please quote your number below

Please provide the following ordering information:

QTY	DESCRIPTION

BILLING
Credit card	Amex ID
Cardholder name
Card number
Credit Card Expiration date		Communique membership number SBN's Please quote your SBN number here

CONTACT INFORMATION
Attention
Title
Company
Telephone
FAX
E-mail

SHIPPING
Street address
Address (cont.)
City
State/Province
Zip/Postal code
Country
SHIPPING METHOD
FedEx DHL UPS TNT Ansett If you select any of these carriers or shippers please fill in your shippers account number field.
Your Account Number with the above shipping company
	I prefer to use Computer TeleVision delivery service Any where in Australia next day delivery (min charge $15 per order ) *International:* min charge $15 first item plus $10.00 per extra item If this box is checked shipping charge will be billed to your credit card

Send mail to ctv@ozemail.com.au

For More Information Contact:

Computer TeleVision
600 Murray Street West Perth Western Australia 6005
Tel: 09 322 5822 Int: +61 9 322 58222
FAX: 09 322 5790 Int: +61 9 322 5790
Internet: ctv@ozemail.com.au