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Credit / Debit Card Transaction Payment

This transaction is for purchases on or off the www.australiatrade.com.au web site
Payment to go to Celestial Industries Pty Ltd A.C.N no: 050.405.377
Registered in the State of Queensland: Country of Australia

Name of Customer (Purchaser of Goods)
Address
State
Country
Please advise what product or service you wish to purchase 
If you wish to take out advertising on our Bulletin boards or Radio stations use this section
If you want goods sent to you please advise your address on this form
Trade Terms
Name of Bank that Issued Card
Country Where Card Issued
Purchase Price of Product Invoice
Shipping / Postage & Handling Invoice
Total Invoice Amount
What Currency are you using
Credit / Debit Card Type
Card Holder's Name
Card Expiry Date
Card Number
Your Card should contain 16 numbers
( example only )
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
3 numbers on the back

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* You are required to put in your name and email address, 
then click submit for your details to come back to us.