5th WHEELER ORDER / QUOTE FORM
Please fill out your requirements and send them off to us. Be sure to provide us with a contact email address or phone number.
We will then contact you with the price, and take your card details etc.
YOUR DETAILS:
Name
House Number & Road Name
Suburb / Town
State
Postcode
Email Address
Phone Number
YOUR 5th WHEELER DETAILS:
Make
Model
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Measurements in mm:
1. Overall Length
2. Overall Width
3. Door position
4. See diagram
5. Width of door
6. See diagram
7. See diagram
8. Width
9. Body Length excluding goose neck
10. Gooseneck curve length
* It is essential that the measurements are accurate as possible. We recommend a soft tape measure is used or a piece of string (that can be measured afterwards)
Please phone Brian on 1300 304 332
for advice if required. |
 ACCESSORIES:
Please select the accessories that you require
Solar panel
Heat & Hail Defence
Hail & Heat defence Front
Hail & heat defence Rear
Please supply your prefered Payment method:
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