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Replacement Parts Order Form
Model Number
Date of Manufacture
Total:
Shipping & Handling*:
$20
Total Due:
❑
Cheque or money order (in AUS dollar) enclosed (payable to Karlisle’s Pty Ltd)
❑
Charge to credit card
❑
Visa
❑
Mastercard
❑
Bank card
Card#
::
Expiration Date
::
//
Signature
::
Post to:
Name
Address
City, State, Post Code
(( ))
Telephone
Email Address
Complete the following form. Your model number and date of manufacture must
be included on the form to ensure proper replacement parts.
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