DIRECT DEPOSIT PAYMENT DETAILS

Date________________ Job Number________________ Amount________________


For prompt processing of payments, Please Fax or E-mail this completed form as confirmation of your
deposit to the number listed below, including your job number & bank transfer details.

Confirmation of final delivery address: -

Name. _________________________________________________

Address ________________________________________________

FAX to (07) 3821 0006 Or
E-mail - admin@andersoncamera.com.au


Our Account details for Direct deposit are:-

National (Aust) Bank
BSB No. 084 129
Account No. 567974877