Fax / Mail Orders

DIVEIMPORTS.com T/AS Dive Superstore
 Australian Business Nos: ABN 77 936 820 688
 215 Scarborough Beach Rd,
Mt Hawthorn Perth Western Australia 6016
 Fax: 08 9443 6710  Tel: 08 9443 1657

All prices are inclusive of 10% GST charges.

[1] Print out using "File / Print"   [2] Fill in form   [3] Fax or Post

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I certify I have read & understand
DiveImports.com Terms & Conditions
Orders over AU$100 - FREE POSTAGE within Australia.
Orders under AU$100 - AU$14.50 Delivery Fee.

Sub-Total

  

-Postage

  

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Your postal address:
Name:_________________________________________________________________

Address:_______________________________________________________________

State: ______________________  Postcode:___________  AUSTRALIA

Phone number: _______________________  Mobile / Cell:_______________________
Money order / 
cheque details
Cheque / Money Order #: ____________________ Bank: _________________________

Amount AU$: _____________  

OR
Credit Card Details
DiveImports
HomePage


Name on credit card: _____________________________________________________

Card Number: _________  ________  ________  ________  Expiry date: _____ / _____ 

Card Type (please circle):------- VISA ------- MASTERCARD ------- AMEX ------- DINERS

Amount AU$: _____________

Cardholder signature:________________________________________
OR Pay by Bank Transfer to: Dive SuperStore - Bendigo Bank BSB:633000 ACC:126572874
PLS INCLUDE your Surname & Initials in the deposit details otherwise delays may occur.

Thank you for filling out our fax / mail order form - For more products please reprint this form.