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The Australian Philatelic Society Inc.
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Customer Invoice
Customer Invoice
4Customer Invoice
Invoice Number
Data items marked with an asterisk (
*
) are required.
CUSTOMER
Customer's First Name
*
Required
Customer's Last Name
*
Required
Customer's Email Address
*
Required
ADDRESS OF PREMISES
Address Line 1
*
Required
Address Line 2
Suburb
*
Required
State
*
Required
Post Code
*
Required
JOB DETAILS
Job Reference Number
*
Required
Amount to be Paid
*
Required
Date Payment Due
*
Required
DD slash MM slash YYYY
This field is hidden when viewing the form
Amount Value
Comments (optional)
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OFFICE USE ONLY
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