Phone Card Choice
ABN 34 101 997 175

Suite 18, Level 2, 281 - 287 Sussex St, Sydney NSW 2000
Tel: 02 9283 9292
Email: authorization@phonecardchoice.com

ORDER FORM
FAX TO: 02 8014 4594
or mail to the above address



Title:      [  ] Mr    [  ] Mrs    [  ] Miss    (please tick appropriate)

First Name ___________________________    Last Name___________________________________

Home Address: ______________________________________________________________________________

Suburb: ______________    State ______    Post Code______

Email: ________________________________________________________________

HOME Phone: (       ) _____________________ Facsimile: (       ) ___________________

Work Phone: (       ) __________________________


Phone CardQtyPrice
Best Phone Card $10    $    
Best Phone Card $20    $    
Best Phone Card $50    $    
My Africa $10    $    
My Africa $20    $    
My Africa $30    $    
My Africa $5    $    
My Africa $60    $    
Four Seasons Phone Card $10    $    
Four Seasons Phone Card $20    $    
Four Seasons Phone Card $40    $    
Asia Call Phone Card $10    $    
Asia Call Phone Card $20    $    
Asia Call Phone Card $50    $    
Baby Talk Phone Card $10    $    
Baby Talk Phone Card $20    $    
Baby Talk Phone Card $50    $    
Anywhere Phone Card $10    $    
Anywhere Phone Card $20    $    
Anywhere Phone Card $50    $    
Chit Chat Phonecard $10    $    
Chit Chat Phonecard $20    $    
Chit Chat Phonecard $30    $    
Chit Chat Phonecard $5    $    
Chit Chat Phonecard $50    $    
Hot Chili Phonecard $10    $    
Hot Chili Phonecard $20    $    
Hot Chili Phonecard $30    $    
Hot Chili Phonecard $50    $    
Apple Phonecard $10    $    
Apple Phonecard $20    $    
Apple Phonecard $50    $    
Namaste Phone Card $10    $    
Namaste Phone Card $20    $    
Namaste Phone Card $5    $    
Namaste Phone Card $50    $    
Bill Buster Phonecard $10    $    
Bill Buster Phonecard $20    $    
Bill Buster Phonecard $5    $    
Bill Buster Phonecard $50    $    
Green Diamond Calling Card $10    $    
Green Diamond Calling Card $20    $    
Phone CardQtyPrice
Green Diamond Calling Card $50    $    
Star Phone Card $10    $    
Star Phone Card $20    $    
Star Phone Card $30    $    
Penny Phone Card $10    $    
Penny Phone Card $20    $    
Penny Phone Card $50    $    
Big Boss Phonecard $10    $    
Big Boss Phonecard $20    $    
Big Boss Phonecard $40    $    
Big Boss Phonecard $5    $    
Big Boss Phonecard $50    $    
Talk Talk Phone Card $10    $    
Talk Talk Phone Card $20    $    
Talk Talk Phone Card $50    $    
Crazy Banana Phone Card $10    $    
Crazy Banana Phone Card $20    $    
Crazy Banana Phone Card $50    $    
Say Hello phone card $10    $    
Say Hello phone card $20    $    
Say Hello phone card $50    $    
Worldwide Phone Card $10    $    
Worldwide Phone Card $20    $    
Worldwide Phone Card $5    $    
Worldwide Phone Card $50    $    
Sweet Home Calling Card $10    $    
Sweet Home Calling Card $20    $    
Sweet Home Calling Card $50    $    
Indian Connection $10    $    
Indian Connection $20    $    
Indian Connection $30    $    
Indian Connection $5    $    
Blue Tomato $10    $    
Blue Tomato $20    $    
Blue Tomato $30    $    
Call Pilipinas $10    $    
Call Pilipinas $20    $    
Call Pilipinas $50    $    
Long Time Calling Card $10    $    
Long Time Calling Card $20    $    
Long Time Calling Card $30    $    
Friendly Calling card $10    $    
Phone CardQtyPrice
Friendly Calling card $20    $    
Friendly Calling card $50    $    
Fat Minutes $10    $    
Fat Minutes $20    $    
Fat Minutes $50    $    
Monster Deal Phone Card $10    $    
Monster Deal Phone Card $20    $    
Monster Deal Phone Card $30    $    
Monster Deal Phone Card $60    $    
Mr Honest calling card $10    $    
Mr Honest calling card $20    $    
Mr Honest calling card $30    $    
Mr Honest calling card $60    $    
Crystal Phone Card $10    $    
Crystal Phone Card $20    $    
Crystal Phone Card $40    $    
Gold Phone Card $10    $    
Gold Phone Card $20    $    
Gold Phone Card $50    $    
RingRing Calling Card $10    $    
RingRing Calling Card $20    $    
RingRing Calling Card $40    $    
Sawadee Phone Card $10    $    
Sawadee Phone Card $20    $    
Sawadee Phone Card $5    $    
Sawadee Phone Card $50    $    
Smiling Cat Phone Card $10    $    
Smiling Cat Phone Card $30    $    
Smiling Cat Phone Card $50    $    
Sweet Deal $10    $    
Sweet Deal $20    $    
Sweet Deal $5    $    
Sweet Deal $50    $    
White Knight Phone Card $10    $    
White Knight Phone Card $20    $    
White Knight Phone Card $30    $    
White Knight Phone Card $60    $    
Global Call Phonecard $10    $    
Global Call Phonecard $20    $    
Global Call Phonecard $50    $    
Total    $    


Payment Details

Credit Card Type:      [  ] Visa    [  ] Mastercard    [  ] Bankcard    [  ] American Express    [  ] Cheque/ Money Order (please tick appropriate)

Credit Card Number: __ __ __ __/ __ __ __ __/ __ __ __ __/ __ __ __ __

CVV/CVC : __ __ __ __ (This is the 3 or 4 digit security code that appears in the front or back of your credit card)

Name (as it appears on the Credit Card) _________________________________

Amount $______________       Expiry Date __ __/ __ __

Authorised Signature: ________________________________