Sure Figure
Slimmers world wide can celebrate - weight loss made easier with Green Coffee for Slimmers
 
'The Ultimate In Healthy Weight Loss Beverages'
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  Wholesale Customer Enquiry Online Ordering
 
Sumabe Holdings Pty Ltd   phone ~ 1300 55 77 70
www.slimmersgreencoffee.com   phone ~ + 61 2 6581 5066
Level 1, 193 Lake Road   fax ~ + 61 2 6581 5077
PORT MACQUARIE NSW 2444   email ~ sales@slimmersgreencoffee.com
    acn: 138 580 686
 
Order Form
 
Date:   Order no:
Customer:      
Invoice Address:   Postcode:
Delivery:   Postcode:
Phone:   Fax:
Mobile:   Email:
         
Qty Product Price au$
Green Coffee for Slimmers $59.00
Green Decaf for Slimmers $59.00
Green Tea for Slimmers $59.00
Detox Green Coffee $59.00
Detox Green Tea $59.00
     
shipping Extra as actual  
notes:
       
Please Cross Payment Method:  Direct Transfer Credit Card Other
Deposit Account Name: Sumabe Holdings Pty Ltd Number: 1060 5342
Commonwealth Bank bsb number: 062-592 Swift Code: CTBAAU2S
       
Credit Card Details, Please Complete: Visa Mastercard Amex
Name On Card:  Signature:  Expiry:
     
         
 
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