Custom Aquarium Request Form
Don't see an aquarium in store that suits your needs? A custom built aquarium may be right for you. Simply fill in this form with as much detail as you can about what you require, and we will get in touch with you to discuss your needs and provide a quotation.
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
-
Area Code
Phone Number
Basic Information: Dimensions
Required aquarium length (left to right). Please provide units: inches or millimeters)
*
Required aquarium height (top to bottom). Please provide units: inches or millimeters)
*
Required aquarium depth (front to back). Please provide units: inches or millimeters)
*
Specifications and Additional Equipment
Choose your front glass:
*
OptiWhite Front Panel
Standard Glass
Sliding Cover Glass Required?
*
Yes
No
Do holes need drilled?
*
Yes
No
Number of Holes Required (if applicable)
Diameter of Holes Required (if applicable)
Pipework Required?
*
Yes
No
I would like to discuss this
Overflow & Weir Comb Required?
*
Yes
No
I would like to discuss this
Vinyl Background Required?
*
Yes
No
I would like to discuss this
If Vinyl Background Required, please indicate preferred colour:
Blue
Black
Cabinet Required?
*
Yes
No
Pelmet Required?
*
Yes
No
Delivery/Collection
Home Delivery Required?
*
Yes, I will need it delivered
No, I can collect it from the store
If Home Delivery is required, please provide the delivery address below:
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Submit
Should be Empty: