Exhaust Fan Order Inquiry Form

Order Form

In Australia Price per unit - $115.00 AUS (incl.GST)
Post & Handling per unit in Australia - $9.90AUS(incl.GST)

Outside Australia Price per unit - $105.00 AUS
Post & Handling per unit outside Australia - $21.00AUS

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If you have decided to purchase an ENVIRO Fan(s), please fill in and print out this order form.
1. Your Information:

First Name:

Last Name:

Company:

Address:

(Where fan is to be sent)

City:

State:

Country:

Postal Code or Zip Code:

E-mail:

Phone:

Fax

	Yes - Please send me		ENVIRO FAN(s) at	AUS $105.00 per Fan (Outside Australia)
				AUS $115.00 per Fan (Inside Australia)

Total cost of Fans:
Plus post & handling:	(see above for costs)
TOTAL:

Method of Payment

To Order: Print this Form and Fax to +61 7 4067 1844 (for direct debit orders)
or
Enclose this order form with your money order/cheque and forward it to:

EPC Development Group Pty Ltd
PO Box 12
BABINDA QLD 4861
AUSTRALIA

2. Tell us about yourself:

Are you currently?

Where is the fan being installed?

How did you hear about us?

Reset the form

Thank you for taking the time to fill out our form and considering the ENVIRO FAN.