Filterfit order form

Filterfit order form:

Customer name:
Address:
State:
Post/Zip Code:
City:
Phone:
Fax:
E-mail:
Name of person placing order:
Contact phone:

How would you like your goods despatched?

Receive call when ready

Despatch per your nominated freight company (please specify details below)

Despatch per our nominated freight company (cost to be added to invoice)

Freight company:
Freight company account number:
Freight company phone number:

Please indicate preferred payment method:

Visa

Mastercard

EFTPOS

Account (subject to approval)

Quantity:

Part no:

Product description:

Quantity:

Part no:

Product description:

Quantity:

Part no:

Product description:

Quantity:

Part no:

Product description:

Quantity:

Part no:

Product description:

Quantity:

Part no:

Product description:

Is installation required?

Yes (please supply relevant details re access, site contact, site address, phone number OH&S compliance etc below)

Additional comments:

Based on this information, a Filterfit representative will contact you with an estimate for installation or to arrange a site inspection in order to provide an accurate quotation

Please note in accordance with Australian Tax Law, all goods purchased within Australia are subject to 10% GST

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