RAPID RE-INKING 339 Yarrow Street Invercargill Phone/Fax 03 217 6648 Mobile: 021 263 7078 Desired Delivery Date: (ddmmyy) Deliver To: (Please print or type) Name: Street Address: City: Phone: Email: CODE DESCRIPTION PRICE TOTAL Delivery Charges Apply* Total Amount COMMENTS METHOD OF PAYMENT: PERSONAL CHECK MONEY ORDER BANK CHECK CHARGE TO: (Please print or type) Name: Street Address: City: Phone: Email: