CONTACT DETAILS
Title:	................
First name:
Surname:	A value is required.
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Mobile number:
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Suburb:	A value is required.	State:	A value is required.	P/code:	A value is required.
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PRODUCTS ORDERED
'Discoverer' pick (900mm)		$189.95 each incl GST	Qty:
'Prospector' pick (750mm)		$159.95 each incl GST	Qty:
'Faith' pick (600mm)		$149.95 each incl GST	Qty:
'Jewel' pick (450mm)		$129.95 each incl GST	Qty:
CC Pick head protector (large)		$44.95 each incl GST	Qty:
CC Pick head protector (small)		$39.95 each incl GST	Qty:
CC Dolly pot (large steel)		$129.95 each incl GST	Qty:
Belt pick holder ..... left ... right (If detector is held in right hand then order a right which fits to the left hip )		$34.95 each incl GST	Qty:
Pick grip		$8.95 each incl GST	Qty:
Gripping cone		$9.95 each incl GST	Qty:
Plastic 30ml bottle		$2.99 each incl GST	Qty:
Pick sharpening service (price excludes postage and handling both ways)		$19.95 each incl GST	Qty:

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PAYMENT DETAILS(please enter your payment details so we can process your order)
Please debit my: A value is required. Visa card .... Mastercard ......OR...... I will pay via: Direct funds transfer
Card number:	Invalid format.	Expiry Date:
Name on card:		CCV:
Payment via direct funds transfer (Please enter Firstname and Surname with the transaction for payment identification) Account name: CC Picks Pty Ltd ......BSB: 013 334...... Account number: 525589997

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Complete the form below and choose the 'Submit Order' button to have your order processed. Please ensure you enter your email address and mobile number so that we can confirm the order with you and inform you of the applicable postage and handling