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Prices effective 1 July 2016 & subject to change

without notice.

PHOTOCOPY FORMFOR RE-USE

Date

Pharmacy Name

McGloins-Supertex Account No. (If applicable)

Buyer’s Name

Contact Number

Email

Delivery Address

$20 freight charge applies for orders under $200

SEND ORDER TO:

Email:

orders@mstx.com.au

OR

Fax: (02) 9836 1055

OR

ring your McGloins-Supertex Sales Representative.

Phone Customer Service (02) 9836 1000 for enquiries.

Code

Description

Qty

Code

Description

Qty

McGLOINS-SUPERTEX EASY ORDER FORM

Prices effective 1 July 2017 & subjec

to change without notice.