Confirmation of Instructions. The purchaser agrees to purchase the goods and services indicated on this application form and acknowledges that legal or financial advice has not been given by XxXxxxx Xxxxxx Lawyers in relation to the preparation of the relevant document(s). Signed by purchaser Date (dd/mm/yy) OR Confirmed by purchaser Date (dd/mm/yy) Note: This application form will not be processed by XxXxxxx Xxxxxx Lawyers unless this section is completed. CREDIT CARD PAYMENTS Please debit the following credit card for the supply of goods and services indicated on this application form. Note: Payment by credit card will incur a fee of 1.07% (incl GST) for VISA and MasterCard, and 3% (incl GST) for AMEX, on the GST inclusive price. Credit card: Visa MasterCard American Express Total Remitted $ Expiry date plus credit card fee specified above Cardholder’s Name Card Number
Appears in 2 contracts
Samples: www.mcw-access.com.au, www.mcwonline.com.au
Confirmation of Instructions. The purchaser agrees to purchase the goods and services indicated on this application form and acknowledges that legal or financial advice has not been given by XxXxxxx Xxxxxx Lawyers in relation to the preparation of the relevant document(s)trust deed. Signed by purchaser Date (dd/mm/yy) OR Confirmed by purchaser Date (dd/mm/yy) Note: This application form will not be processed by XxXxxxx Xxxxxx Lawyers unless this section is completed. CREDIT CARD PAYMENTS Please debit the following credit card for the supply of goods and services indicated on this application form. Note: Payment by credit card will incur a fee of 1.07% (incl GST) for VISA and MasterCard, and 3% (incl GST) for AMEX, on the GST inclusive price. Credit card: Visa MasterCard American Express Total Remitted $ Expiry date plus credit card fee specified above Cardholder’s Name Card Number
Appears in 2 contracts
Samples: Shareholders Agreement, Shareholders Agreement
Confirmation of Instructions. The purchaser agrees to purchase the goods and services indicated on this application form and acknowledges that legal or financial advice has not been given by XxXxxxx Xxxxxx Lawyers in relation to the preparation of the relevant document(s). Signed by purchaser Date (dd/mm/yy) OR Confirmed by purchaser Date (dd/mm/yy) Note: This application form will not be processed by XxXxxxx Xxxxxx Lawyers unless this section is completed. CREDIT CARD PAYMENTS Please debit the following credit card for the supply of goods and services indicated on this application form. Note: Payment by credit card will incur a fee of 1.07% (incl GST) for VISA VISA, and MasterCard, and 3% (incl GST) for AMEX, on the GST inclusive price. Credit card: Visa MasterCard American Express Total Remitted $ Expiry date plus credit card fee specified above Cardholder’s Name Card Number
Appears in 1 contract
Samples: www.mcwonline.com.au
Confirmation of Instructions. The purchaser agrees to purchase the goods and services indicated on this application form and acknowledges that legal or financial advice has not been given by XxXxxxx Xxxxxx Lawyers in relation to the preparation of the relevant document(s)trust deed. Signed by purchaser Date (dd/mm/yy) OR Confirmed by purchaser Date (dd/mm/yy) Note: This application form will not be processed by XxXxxxx Xxxxxx Lawyers unless this section is completed. CREDIT CARD PAYMENTS Please debit the following credit card for the supply of goods and services indicated on this application form. Note: Payment by credit card will incur a fee of 1.07% (incl GST) for VISA and MasterCard, and 3% (incl GST) for AMEX, on the GST inclusive price. Credit card: Visa MasterCard American Express Total Remitted $ Expiry date plus credit card fee specified above Expiry date Cardholder’s Name Card Number
Appears in 1 contract
Samples: Shareholders Agreement
Confirmation of Instructions. The purchaser agrees to purchase the goods and services indicated on this application form and acknowledges that legal or financial advice has not been given by XxXxxxx Xxxxxx Lawyers in relation to the preparation of the relevant document(s). Signed by purchaser Date (dd/mm/yy) OR Confirmed by purchaser Date (dd/mm/yy) Note: This application form will not be processed by XxXxxxx Xxxxxx Lawyers unless this section is completed. CREDIT CARD PAYMENTS Please debit the following credit card for the supply of goods and services indicated on this application form. Note: Payment by credit card will incur a fee of 1.07% (incl GST) for VISA VISA, and MasterCard, and 3% (incl GST) for AMEX, on the GST inclusive price. Credit card: Visa MasterCard American Express Total Remitted $ Expiry date plus credit card fee specified above Expiry date Cardholder’s Name Card Number
Appears in 1 contract
Samples: www.mcw-access.com.au