Contact Details

contact details

business name:

abn:

surname: given name:

address for invoice:

delivery address (if different):

phone: fax:

mobile:

email:

order form

QTY PRICE

$ / easytest TRADIE @ $1,108.18 + GST = / $1,219 / (GST Inc.)
$ / easytest TRADIE Kit @ $1,199.09 + GST = / $1,319 / (GST inc.)
$ / easytest miniPAT @ $718.18 + GST = / $790 / (GST inc.)
$ / easytest miniPAT Kit @ $800 + GST = / $880 / (GST inc.)
$ / easytest MEGA @ $1,271.82 + GST = / $1,399 / (GST inc.)
$ / easytest MEGA kit @ $1,362.73 + GST = / $1,499 / (GST inc.)
$ / easytest Clover Leaf Laptop Connector @ $38 (GST inc.)
easytest PASS Tags (BLUE) @ $43 per 100 or $77 per 200 (GST inc.)
easytest FAIL Tags (RED) @ $43 per 100 or $77 per 200 (GST inc.)
Conformance Check your easytest tester as recommended by AS/NZS 3760 @ $150 plus $15 GST = $165.00 (GST inc.)
(send unit to 9 Creekview Drive, Walkley Heights SA 5098 for calibration)
TOTAL PRICE
$
$
$
$

payment options

method:

cheque eft credit card

eft details: bsb 610-101, account 070921435, Adelaide bank

credit card: (circle one) visa mastercard

card number: expiry:

name on card: amount to charge:

CVV No…………. (3 digit no. on back of card)

signature:…………………………………………………date:

Please send this completed form (with cheque or credit card details) to: easytest Pty Ltd, PO Box 589, Salisbury SA 5108 or email easytest - ABN 48 106 908 641