Singapore Phone Cards
ABN 34 101 997 175
Suite 18, Level 2, 281 - 287 Sussex St, Sydney NSW 2000
Tel: +65 3125 1643
Email: authorization@singaporephonecards.com

ORDER FORM
FAX TO:
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
Fortune Phone Card $10    $    
Fortune Phone Card $20    $    
Fortune Phone Card $50    $    
Kamusta Ka Kabayan Phone Card 10$    $    
Kamusta Ka Kabayan Phone Card 20$    $    
Kamusta Ka Kabayan Phone Card 50$    $    
Phone CardQtyPrice
Long Chat Calling Card $10    $    
Long Chat Calling Card $20    $    
Long Chat Calling Card $30    $    
Long Chat Calling Card $60    $    
Sunshine Phone Card $10    $    
Sunshine Phone Card $20    $    
Phone CardQtyPrice
Sunshine Phone Card $50    $    
Cheap Cheap Phone Card $10    $    
Cheap Cheap Phone Card $20    $    
Cheap Cheap Phone Card $5    $    
Cheap Cheap Phone Card $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: ________________________________