Order Information

Please print out this blank form, complete the details, then post or fax if you wish to purchase by credit card

The convenient way to pay for your order, or settling your dealer account, from anywhere in the world. Ertoel Wheels has credit card facilities for payment by mail, fax or telephone. Note: This completed form, should not be sent by E mail.

For our Distributors, channelling your trading cheques, via a credit card account, can have many advantages, especially for the 55 days free credit time, and reward points now offered by some banks.

Authorisation Form

Please debit my credit card -
Bankcard / Visa / Mastercard (strike out those not applicable)

Card holder Account No. ………………………………………………...........................

Expiry Date ………………………………………….

Account Name ……………………………………………......

Signature …………………….................................

Business Name (if applicable)

………………………………………………………………………….……..

Address ………………………………………………………………………………………….

Phone No. ………………………………………………… Fax No. ……………………………

Please tick box
For continuous account use Single invoice use.
Invoice No. ……………………………

Ask about our other methods of payment. Personal cheques can be accepted. Foreign cheques can be also be accepted with some conditions

For personal attention please contact us.