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ORDER
YOUR ATLAS INKJET CARTRIDGES, REFILLS & LASER TONERS
PLEASE COMPLETE THE ORDER FORM BELOW AND SUBMIT
IT
Please note if you order
any $20 worth of cartridges or refills at one time postage is free.
Orders less than $20.00 you need to add $3.40 for postage
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| First Name |
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| Last Name |
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| Email address: |
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| Atlas Membership number |
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| Inkjet order |
Select Cartridge
equivalent number eg NC-0003eBk |
| 1. Please send me cartridges of |
Enter cartridge number |
| 2. Please send me cartridges of |
Enter cartridge number |
| 3. Please send me cartridges of |
Enter cartridge number |
| 4. Please send me cartridges of |
Enter cartridge number |
| 5. Please send me cartridges of |
Enter cartridge number |
| 6. Please send me cartridges of |
Enter cartridge number |
| 7. Please send me cartridges of |
Enter cartridge number |
| 8. Please send me cartridges of |
Enter cartridge number |
| 9. Please send me cartridges of |
Enter cartridge number |
| 10.Please send me cartridges of |
Enter cartridge number |
| / |
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| Refill Kit order |
Refill
Kit model number eg OA-4RC1001BK |
| Please send me refills of |
Enter Model Number |
| Please send me refills of |
Enter Model Number |
| Please send me refills of |
Enter Model Number |
| / |
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| Laser Toner Cartridge order |
Enter Cartridge
number eg OA-4T C2624 |
| Please send me of |
Enter Item number here |
| Please send me of |
Enter Item number here |
| / |
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| How do you wish to pay for your
order? |
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| / |
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| Where do
you want your order sent to? |
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| Street or Postal Address |
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| Suburb |
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| City or Town |
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| State/NZ |
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| Postcode |
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| Your mobile or phone
number in case we need to call you to advise? |
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| Do you require a Tax
invoice with your order? |
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| If so name to appear on
Tax Invoice |
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| / |
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| Once we have your order
and have processed it and it is ready for despatch we will
email you for payment. |
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