Guppytraders-Essentials Order Form

Please complete the grey areas on this Order Form and Submit or Mail it to the Address indicated at the end of this form. To ensure a swift processing of your order, please type details in all relevant sections. ( * = Required Fields)

Name Details	*First Name : *Surname :
Address Details	*Number/Street :
	*Suburb/City :   *Code/Zip :
	*Country :
Contact No.	*Day Phone : Facsimile :
*E-mail Address

Where did you hear about this software?

* When entering Phone/Fax numbers please enter the complete International codes and prefixes.

Choose your Product from the drop-down box below:

EzyManager Software and $11 Postage and Handling => $386 GTE Charting; BodhiGold: ASX Elite + History & EzyManager and $11 Postage & Handling => $986

* Australian Postage. International Postage will be charged at cost.

PAYMENT OPTIONS - 1. Preferred Method - Direct Credit Account Name: Roolden Pty Ltd BSB: 633000 Account No.: 103402111 Reference: Use your name

2. Paying By Credit Card  If you intend to pay with a Credit Card please complete the section below.

Select Card Type : Visa MasterCard   Card Expiry Date :   Credit Card Number :    CCV code :   Name on Card : Signature :

3. Paying By Cheque/Money Order   Please find attached a Cheque for the Amount selected in the Product section of this form.

Mailing Details   Please Mail this completed form, with the Attached Cheque/Bank Draft (if applicable) to the following Address: Roolden Pty Ltd PO Box 2059 Bendigo Delivery Centre VIC 3554 AUSTRALIA