Ōtorohanga Historical Society -
Date:........................................
Invoice no:............……….(Office use only)
Request for copies of photo/s (A4 copy $50; A3 copy $80)
Photo no. ..........................… Size:..........................
Number of copies.................................… $....................Total
Photo no. ..........................… Size:..........................
Number of copies................................$.....................Total
$............................Total payable (see Bank details below)
Description/s.........................................................................................................
......................................................................................................................
Name of recipient:................................................................................................
Address ...............................................................................................................
Email.................................................................................................................
Phone Number.....................................................................................................
Total Due:$...............................
Please make payment in full to:
Ōtorohanga Historical Society
BNZ account: 02-0392-0018348-000
Particulars: “Your Name”
Code: This Request/Invoice no.
Reference:
Signed:...............................................................…(Museum Representative).
Date payment received:.................................................
Date Processed/collected/sent.........................................Signed:........................................
Ōtorohanga Historical Society -
Date:........................................
Invoice no:............……….(Office use only)
Request for copies of photo/s (A4 copy $50; A3 copy $80)
Photo no. ..........................… Size:..........................
Number of copies.................................… $....................Total
Photo no. ..........................… Size:..........................
Number of copies................................$.....................Total
$............................Total payable (see Bank details below)
Description/s.........................................................................................................
......................................................................................................................
Name of recipient:................................................................................................
Address ...............................................................................................................
Email.................................................................................................................
Phone Number.....................................................................................................
Total Due:$...............................
Please make payment in full to:
Ōtorohanga Historical Society
BNZ account: 02-0392-0018348-000
Particulars: “Your Name”
Code: This Request/Invoice no.
Reference:
Signed:...............................................................…(Museum Representative).
Date payment received:.................................................
Date Processed/collected/sent.........................................Signed:........................................