Aerial Photography Order Form Orders for Aerial Photography products provided by UNITED PHOTO & GRAPHIC SERVICES on behalf of Geoscience Australia UNITED PHOTO & GRAPHICS SERVICES Pty Ltd ABN: 96 006 622 788 Tel: +61 3 9328 3444 133 Abbotsford St, North Melbourne, Vic, Australia 3051 FAX: +61 3 9326 6476 Email: PO Box 369, North Melbourne, Victoria, Australia, 3051 Website Company Name: DATE: Purchase Order / Reference No: Senders Name: (delivery name) Phone No: FAX: ( ) ( ) Email: Pages: (incl this Page) Courier Delivery Address: Postal and/or Account Address: (please do not use a P.O. Box No.) (If different from Courier Del. Address) Unit Amount Map / Area Film No Run Print No's Code Remarks Qty excl GST excl GST Sub Total Pkg & Delivery TOTAL excl GST $ GST $ EFT PAYMENT: CREDIT CARD DETAILS: Bank: ANZ Charge my: Mastercard VISA BSB: 013 377 Account No: 3071-44957 Card No. Please Note: Expiry Date For non UPGS Account holders, orders must be accompanied by payment. CHEQUE / MONEY ORDER: Name of Card Holder: Payable to: Photomapping Services (Please Print Clearly) $ Attached Signature: Aerial Photography products are copyright and should not be re-produced without permission. For information about the Geoscience Australia Aerial Photography Archives and Flight Line Information please visit:
Aerial Photography Order Form Orders for Aerial Photography products provided by UNITED PHOTO & GRAPHIC SERVICES on behalf of Geoscience Australia UNITED PHOTO & GRAPHICS SERVICES Pty Ltd ABN: 96 006 622 788 133 Abbotsford St, North Melbourne, Vic, Australia 3051 PO Box 369, North Melbourne, Victoria, Australia, 3051 Tel: +61 3 9328 3444 FAX: +61 3 9326 6476 Email: Website Company Name: DATE: Purchase Order / Reference No: Phone No: ( ) Senders Name: (delivery name) FAX: ( ) Email: Pages: (incl this Page) Courier Delivery Address: (please do not use a P.O. Box No.) Postal and/or Account Address: (If different from Courier Del. Address) Map / Area Film No Run Print No's Code Remarks Unit excl GST Qty Amount excl GST Sub Total Pkg & Delivery TOTAL excl GST $ GST $ EFT PAYMENT: CREDIT CARD DETAILS: Bank: ANZ Charge my: Mastercard VISA BSB: 013 377 Account No: 3071-44957 Card No. Please Note: For non UPGS Account holders, orders must be accompanied by payment. Expiry Date CHEQUE / MONEY ORDER: Payable to: Photomapping Services Name of Card Holder: (Please Print Clearly) $ Attached Signature: Aerial Photography products are copyright and should not be re-produced without permission. For information about the Geoscience Australia Aerial Photography Archives and Flight Line Information please visit:
aerial-photography-order-form.docx