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Prices effective 1 January 2016 and subject to change without notice.

www.moo.mcgloins.com

27

McGLOINS EASYORDER FORM

PHOTOCOPY FORMFOR RE-USE

Date

Pharmacy Name

McGloins Account No. (If applicable)

Buyer’s Name

Contact Number

Email

Delivery Address

$20 freight charge applies for orders under $200

SENDORDER TO

:

Email:

orders@mcgloins.com

OR

FAX:

(02) 9836 1055

OR

RING:

your McGloins Sales Representative.

Phone Customer Service (02) 9836 1000 for enquiries.

Code

Description

Qty

Code

Description

Qty