HotBox Firewood - Order Form

HotBox Firewood - WINZ Quote

Please complete the below order form to obtain a quote. Once completed you will receive an email with a copy of your quote to take to your WINZ case manager. Once WINZ approve your order we will contact you to book your delivery.
Name*

First NameLast Name
E-mail*
example@example.com
Phone Number*

Area CodePhone Number
Address*

Street Address

Street Address Line 2

City

Postal Code
Please select ideal delivery day (We will contact you to arrange time):*

MonTuesWedsThursFriAny Day
What is your preferred delivery time:
Any delivery Instructions?
Ie: Leave in carport, beware of dog etc
How did you hear about us?
Select your wood type:
prevnext( X )
Delivery Fee
Please select area for delivery

$ FreeNZD Area

Total

$0.00NZD
Business Information for WINZ:

Bank Account: 06 0433 0599223 00 - Corner Dairyz Ltd - Use client name as ref
Business Supplier: Hot Box Firewood
Supplier reference: CUR002539266
Should be Empty:

HotBox Firewood - WINZ Quote