Excelink Pacific

 "Enriching Global Relationships"  

through    Trade     Travel     Training     

 

 

Secure Order, Payment or Enquiry Form  for

  • Excelink Pacific

  • Spirit Safaris / Song & Dance Adventures

  • Australian Visions + OzMaps

  • Bush University

  • Peace at Work + various Books & CDs

Call from outside Australia +(61 2)  8213 3225

Call from inside Australia 02 8213 3225 if any questions

FREE CALL in Australia  1300 763 188

CUSTOMER DETAILS 
1 Name
Company
Position
     
Address DETAILS (unless already provided) 
2 Address
Address Line2
Suburb/City State PostCode/ Zip
Country
     
CONTACT DETAILS (unless already provided)
3 Work Phone MobilePhone
Fax
Email
   
ORDER/BOOKING DETAILS
4 Products   Details  Amount A$

Tours 

Tour Name or Code

Number Passengers    Number Child/Concession

Start Date      Day / Month
Finish date   Day / Month

 

Books /Music Number Ordered -   Title

Other/OzMap  

Number Ordered -  Title/ Ref No.
  Peace at Work Number Ordered 
PAYMENT DETAILS
5 Card Type                          
Charge Amount        AUD - Australian $
Card Number
Expiry Month / Year MM/YY
Name as on Card  
Card ID No (3 digits on back of card or other for American Express cards)
 
COMMENTS / QUESTIONS / REQUESTS
6 Comments If referred or booked by agent please enter name here

Thank you -

Note your receipt number that will appear after you click Submit button.

Send mail to team@excelink.com.au with questions or comments about this web site.
Copyright © 2006 Excelink International P/L t/a Excelink Pacific
Last modified: 05/27/08