VFACTS REPORT/SUBSCRIPTION
ORDER FORM

Please complete and return ORIGINAL TO:

Jim Rutherford

VFACTS ManagerPhone:(03) 9829 1234

7th Floor, 464 St Kilda RoadFax:(03) 9820 5968

Melbourne Victoria 3104Email:

Company Name:

Contact Name:Job Title:

Contact Phone No:Fax No:

Email:

Postal Address:State:

Postcode:

PAYMENT DETAILS

AMEXMASTERCARDBANKCARDVISA

Card Number:______Expiry Date: ____/____

Card Holder’s Name:______Amount: ______

TERMS OF SUBSCRIPTION

The terms of subscription must be signed prior to any reports being received.

The VFACTS reports (including the data and information contained therein) is supplied by the Federal Chamber of Automotive Industries ACN 008 550 347 (FCAI) to, and is accepted by, the subscriber on the understanding and agreement that:

  1. To the extent permitted by law the FCAI has title to, and property and copyright in, the report; and,
  2. The subscriber:
  1. Shall use the report solely for the purposes of analysis, presentation and distribution of selected information forming part of a presentation or briefing to be made to the media, general public, government representatives, or suppliers;
  2. Shall not distribute, reproduce or copy the report in any manner of form whatsoever, nor permit any person or entity so to do, without the prior written permission of the FCAI;
  3. Shall not sell or otherwise supply the report to any person or entity, whether for, or without, any monetary or other consideration, without the prior written permission of the FCAI.

Subscriber’s signature Subscriber’s name (please print)

Please supply me with the following VFACTS Report(s):

INDUSTRY SUMMARY: Place tick if you wish to enter a continuous annual subscription.

12 month subscription @ $620

reporting period to

eg (January 2012 to December 2012)

NATIONAL REPORT: Place tick if you wish to enter a continuous annual subscription.

12 month subscription @ $3,050

reporting period (Jan to Dec) to

Quarterly, Half Yearly or Yearly, @ $310

per issue (Commencement Month)

1 month subscription @ $310

per issue(Month)

STATE REPORTS: Place tick if you wish to enter a continuous annual subscription.

12 month subscription @ $3,050

reporting period to

Quarterly, Half Yearly or Yearly, @ $310

per issue (Commencement Month)

1 month subscription @ $310

reporting period(Month)

METRO/RURAL REPORT:

National report OR

State report

@ $425per issue to

13 MONTH 1 BUYER TYPE REPORT:

National report OR

State report

@ $425per issue to

4 BUYER TYPE REPORT:

National report OR

State report

@ $425 per issue to

Distribution Frequency: Monthly/Quarterly/Half Yearly/Yearly. This report has a year-to-date (Calender) component.

ONE PERIOD BUYER TYPE REPORT

National report OR

State report

@ $425 per issue to

FUEL TYPE:

National report OR

State report

@ $425 per issue to

NUMBER OF CYCLINDERS:

National report OR

State report

@ $425 per issue to

SPECIALIST REPORTS:

User Specified Criteria

FCAI Quoted Cost

@ $ per issue to

POSTCODE REPORTS:

National report @ $6,115

reporting period to

State report @ $1,625

reporting period to

For the State of:

Multiple User Distribution

A charge of 10% is payable for each additional email distribution supplied.

GST Payable:

A GST (Goods and Services Tax) of 10% is payable and is included in the amounts shown above. Quoted ABN 53 008 550 347.

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