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ORDER FORM

 

please use the image below, to help with the terminology when needed

custom back seat


               
Ph: (02) 9789 3998 or Fax: (02) 9718 7066          
Mob:
0410 028 680 / Mob: 0415 552 527

                          
Please complete our online order form below or print out by clicking the button:  

To use the paper
order form you need to print out, then Fax or Email the form back to us. If you find it difficult filling out any of our order forms, then we are more then happy to take your order over the phone.

Please use one of our secure payment options below:

Click on the link below to securely transfer funds via PayPal:

How PayPal Works


1. Select 'Money' at the top
2. Click on 'Send or Request Money'
3. Select 'Pay for Goods & Services'
4. Email:
canterburyseatcovers@gmail.com
5. Enter quoted ($) amount by Sales Representative

or

Direct Payment:
 
St. George Bank 
Canterbury Seat Covers & Accessories

BSB No. - 112879 
Account No. - 428819501

or

Credit Card:

You can enter your credit card details on the order form below or provide your card details over the phone. All cards are accepted.


Your Name (e.g. John Smith) *
Address (e.g. 123 Smith Street) *
Suburb (e.g. Canterbury) *
City (e.g. Sydney) *
State (e.g. NSW) *
Postcode (e.g. 2193) *
E-Mail (e.g. johnsmith@email.com) *
Phone Number (e.g. 02 9789 3998) *
Car Make (e.g. Toyota) *
Car Model (e.g. Corolla) *
Car Series (e.g. Ascent)
Car Year Model (e.g. 2005) *
Car Shape (Please c lick arrow below to select shape) *
Seating capacity
2
3
4
5
7
Does Your Vehicle Have Side Airbags? (i.e. In The Side Of The Seat) *
Product Type *
Seat Covers
Floor Mats
Dash Mats
Steering Wheel Covers
Other Accessories
Product Name (e.g. Taurus) *
(If Selected Seat Covers) Please Specify
Front
Middle
Rear
(If selected front) Please Specify
Armrest
Yes
No
Headrest
Separate
Moulded
No Headrest
(If selected Middle) Please Specify (i.e 7 - 8 seater)
Armrest
Yes
No
Headrest
Separate
Moulded
No Headrest
Squab Split (seat Back)
Yes
No
Seat Base Split (Seat bottom)
Yes
No
(If selected Rear) Please Specify
Armrest
Yes
No
Headrest
Separate
Moulded
No Headrest
Squab Split (seat Back)
Yes
No
Seat Base Split (Seat bottom)
Yes
No
Colour
Messages Or Comments
Payment Method (if card ,please call regarding payment)
Credit Card
PayPal
Cheque
Direct Deposit
Other Enquiries
Verification Code *

Please enter the verification code shown in the image above to prevent any unsolicited emails (SPAM).

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