Messages on Hold Service Agreement Order / Tax Invoice

Happy Talk Media Pty Ltd
ABN 19 164 273 910
PO Box 10288 Mt Pleasant 4740
Bus Phone: 4401 5144
Mobile: 0400 057 986
happytalkmedia.com
SERVICE AGREEMENT ORDER / TAX INVOICE
Section 1. Contact Information
Business Name*
ABN*
Business Site Address*
Postal Address*
Title*
First Name*
Last Name
Email*
Accounts Email
Phone Number*
Fax Number
Section 2. Select Package
Select Package
Other Services
- Radio Ads = $850 (inc GST)
- Jingles = $3850 (inc GST)
Customised Package Cost per Month (inc GST)
Customised Package Details
On Hold Establishment Fee (inc GST)
Radio Ad (inc GST)
Invoice Total (inc GST)*
Method of Payment*
Details for Bank Deposit: BSB: 084-789 Account: 944756331
Date*

DD
MM
YYYY
Agent Name
Commencement Date: On Hold
- 5th
- 20th
Offer and Acceptance
This Agreement is entered into in accordance with the terms and conditions provided separately or attached which the Customer confirms he/she has received and accepts. [READ TERMS AND CONDITIONS]
Authorised Persons Name*
Authorised Persons Acceptance
- I accept the terms and conditions provided separately or attached
Office Use Only
Date of acceptance*

DD
MM
YYYY
Authorised Persons Title/Position*
Direct debit form completed?
If no, give details
Minimum service period of 6 months from date of first service installation

SERVICE AGREEMENT ORDER / TAX INVOICE