ORDER FORM

Dealer: Customer: Date:

Please Cross Boxes �

SCRIMFluoro Yellow

White

PX-20

3.

4.

UNDER-SURFACE COLOURS

White Mainsail

TOP SURFACE1.

2.

3.

4.

Top Surface Under-Surface

Please Cross Boxes �

Moyes Delta Gliders Pty Ltd 1144 Botany Road NSW 2019 AustraliaPh: +61-(0)2-9316 4644 Fax: +61-(0)2-93168488 Email: moyes@moyes.com.au Website: www.moyes.com.au

LEADING EDGE

Glider SizeScrim Leading Edge, Round Uprights, Straight Base Bar

Sonic 165 Sonic 190

OptionsPX-20 Leading Edge Speed Bar Aerofoil Uprights

VG (190 Only) Setup for Motorised Harness (190 only)

Super Sonic OptionPX-20 Leading Edge, Airfoil Uprights, Speedbar

Super Sonic 165 Super Sonic 190 Super Sonic 190VG

Standard Logos “Sonic” on Right Undersurface

Optional Logos “Moyes Bird” on Centre Top Surface Yes

Your Harness Type

Hangloop Required Front Mounted Chute Side Mounted Chute

Size of hangloop required:

ORPlease give meaurement (height from base of main hangloop to topof Base Bar) see diagram:

(mm/inches)

(mm/inches) A-Frame base bar

Hangloop

Special Instructions

Spare Parts Spare Upright Qty:_______ Cross Country Bag Qty:_______

Other Spares

MerchandiseMoyes T-Shirt S, M, L, XL Qty:_______

Gloves S, M, L, XL Qty:_______

Speed Sleeve Red, Blue, black, White Qty:_______

Cap Qty:_______

UNDER-SURFACECOLOURS AVAILABLE

BLACK

CHARCOAL

GREY

WHITE

YELLOW

FLURO YELLOW

FLURO GREEN

GREEN

TURQUOISE

DARK BLUE

LILAC

FLURO PINK

FLURO RED

RED

FLURO ORANGE

CONDITIONS OF SALEPlease supply me with the above-mentioned goods subject to the Conditions of Sale set out below:

1. The parties agree that this document sets out the whole of the terms of their agreement2. The only warranties or conditions that apply to this agreement are those which are implied by law

and cannot be excluded by law. All other representations , warranties and conditions are expressly negatived and the Purchase acknowledges that any such representations, statements, warranties or conditions do not form part of this agreement and are of no force and effect at law.

3. The Purchaser acknowledges that the price paid for the abovementioned goods does not include any amount for liability insurance and that the goods will be used solely at the Purchaser’s or User’s own risk. In particular, Moyes Delta Gliders Pty. Ltd., its servants and agents, shall not be liable for any loss or damage of any kind suffered by the Purchaser or any other person. The loss or damage shall include any loss arising from negligence.

4. Any opinions, advices and information provides by Moyes Delta Gliders Pty. Ltd. And its servants or agents are given solely at the risk of the Purchaser. Moyes Delta Gliders Pty. Ltd. And its servants or agents do not invite the Purchaser or any other person, using their goods to rely upon such opinions, advices or information and accepts no responsibility for them. They further intend by this statement to exclude liability completely for any such opinions, advices or information.

5. The purchaser acknowledges that the benefit of the abovementioned exclusions of liability are intended for the benefit of all directors, servants or agents of Moyes Delta Gliders Pty. Ltd. And that the Purchaser contracts with the company on their behalf for this purpose only.

6. Nothing in this agreement is to be construed so as to exclude, restrict or modify any provisions of the Trade Practices Act 1974 which by reason of that Act cannot be excluded.

Purchaser’s Name:

Address:

Phone: Fax:

Signature: Date:

Standard with Round Uprights and Round Speedbar

dealer: customer: US_front: US_mid: LE_fluro_yellow_scrim: OffLE_white_scrim: OffLE_PX_20: Offspeedbar: Offaerofoil_uprights: OffPX_20_leadingedge: OffVG: Offsetup_morotised_harness: Offsonic_166: Offsonic_standard_round: Offsonci_190: Offsupper_sonic_166: Offsupper_sonic_190: Offsupper_sonic_190vg: Offbird: Offshoot_front: Offshoot_side: Offhangloop: basebar_to_hangloop: spar_upright: Offxc_bag: Offupright_qty: special_instructions: other_spares: moyes_t: Offmoyes_gloves: Offmoyes_t_s: Offmoyes_t_m: Offmoyes_t_l: Offmoyes_t_xl: Offmoyes_gloves_s: Offmoyes_gloves_m: Offmoyes_gloves_l: Offmoyes_gloves_xl: Offt_shirt_qty: speedsleeves: Offcap: Offspeedsleevs_red: Offspeedsleevs_blue: Offspeedsleevs_black: Offspeedsleevs_wight: Offname: address1: address2: phone: fax: date: xc_qty: cap_qty: gloves_qty: speedsleeves_qty: