*to be filled by Kelly's Office Staff
PLEASE NOTE THAT NO SURCHARGE IS APPLICABLE TO MASTER CARDS, VISA CARDS AND/OR DEBIT CARDS
I hereby authorise Kelly's Distributors to charge my card for ongoing purchases.
215 Jackson Road, Sunnybank Hills, QLD 4109 Tel: 07 7 33452688Fax: 073345 2599
Email: info@kellysdist.com.au www.kellysdistributors.com.au
I hereby authorize Kellys Distributors to obtain and utilize my personal information as required for the completion of the processes described in this form.
A receipt will be emailed to you for each transaction processed. Please ensure that sufficient funds are available for all purchases to avoid unnecessary delays to deliveries and to ensure a smooth process. Thank you for your continued business.