Company Details	*Indicates Mandatory Fields
Registered Company Name (If Pty. Ltd or Ltd)*
Trading Name*
ABN*
Street Address*
Address (cont.)
Suburb
State	ACT NSW NT QLD SA TAS VIC WA
Post Code
Work Phone
FAX
Company Website Address
Purchase Order Details
Name of Person Placing This Order
Position Held
Email Address
Phone
Fax
Mobile Telephone Number
Purchase Order Number	Please fax purchase order to 03 9466 7188

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Any special comments you wish to add

Terms and Conditions of Sale:- Please read carefully and acknowledge

Service Technician Rates are charged at $120 per hour including travelling time for the first hour and $60 per 30 minutes or part thereof afterwards. It is your responsibility to have all vehicles available at the scheduled booked time as a service fee for the first hour will be charged regardless of work done. Job cancellations will not be accepted within 24 hours of the scheduled time.

If you agree with the terms and conditions of sale please answer YES (type in capital letters)