Fiddich Technologies Phone : +61 412 644 078 P.O. Box 55, Bond University Fax : +61 7 302 2199 Gold Coast, Qld 4229 Australia Mini SQL 1.0 Invoice ==================== Customer Details ---------------- Name : _________________________________________________ Organisation : _________________________________________________ Postal Address : _________________________________________________ _________________________________________________ _________________________________________________ E-Mail Address : _________________________________________________ Order Details ------------- _____________________________________________________________________ | | | | | | Qty | Description | Unit cost | Sub Total | |_______|_____________________________________|___________|___________| | | | | | | | Commercial Installation | AUD $225 | $ | |_______|_____________________________________|___________|___________| | | | | | | | Private Installation | AUD $ 65 | $ | |_______|_____________________________________|___________|___________| | | Total | $ | |___________| Payment Details --------------- _ Cheque / money order enclosed |_| (convert AUD$ into local currency) OR _ _ Please debit my Mastercard |_| Visa |_| the above total. Card number : __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ Card valid : From __ / __ To __ / __ Signature : ________________________ Date : __ / __ / __