MyCars - GPS Fleet Management Tracking Online Order Form

Agreement For the Purchase and Provision of GPS Application Hosting

Applicants must be ABN Holders. Payment is strictly by Credit Card  Direct Debit or Bank Account Direct Debit

 

Important- Direct Debit Forms Required to Process Your Order

Prior to Completing and Submitting this Electronic Form please download the banking and/or credit card Direct Debit Forms below.
Complete them  and Fax to IntelliTrac on (03) 94667188 when submitting this application.
 

Processing of your order will not commence until a direct debit form is faxed to  our office.

Company Details

*Indicates Mandatory Fields
Registered Company Name (If Pty. Ltd or Ltd)*
Trading Name*
ABN
Street Address*
Address (cont.)
Suburb*
State*
Post Code*
Work Phone*
FAX*
   

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
   

Accounts Payable Details

 
Accounts Payable Contact Name*
Email Address*
Phone*
Fax*
   

Billing Details

 
Billing Street Address*
Suburb*
State*
Post Code*
   
IntelliTrac Sales Person

Insert the name of your IntelliTrac account rep for personal service

   
User Login Details Additional users may be allocated when this application is accepted
Preferred Username
Preferred Password   * must be 7 characters long
Users Email Address  
   
   
 

Vehicle Make

Vehicle Model

State
where to
be
Installed

Rego

        Vehicle Type

What Do You Want To Call This Vehicle?

 
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Pricing for Supply Of Devices

PLEASE NOTE:- All prices listed below are subject to GST. Therefore a 10% GST component will be added to your final invoice.  As a GST registered ABN holder you will be able to claim back any GST paid to us  in your BAS Statement.
   
Type Of GPS Tracking Required
   
Trackers  
Price of Each GPS Device +GST
Price to install each GPS Device + GST
Number of GPS Devices Required
   
   
   
   

Monthly ASP Fees

 
 
Monthly Fee to host each tracking system +GST
     
   
 
   
Total Price GPS Tracking Devices + GST 
   
Total Monthly Fees  + GST
   
   
Do You Require Vehicle Labels?
  Dimension 200mm x 60mm Suitable for Rear Window. Affixes Externally
 

Any special comments you wish to add

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

If you agree with the terms and conditions of sale please answer YES (TYPE IN CAPITAL LETTERS)

Reminder - Prior to Submitting this form please download banking Direct Debit Forms below,
Complete them  and Fax to IntelliTrac on (03) 94667188 when submitting this application

 


GPS Tracking Systems, GPS Stolen Vehicle Tracking, GPS Plant and Equipment Tracking, GPS Asset Tracking, GPS Personal Tracking, GPS Fleet Management Systems, GPS Trailer Tracking, GPS Truck Tracking, GPS Container Tracking
Copyright 2012© IntelliTrac.
Phone: 1 300 767 492

International: +61 3 9467 6188
Fax: +61 3 9466 7188