Flag Order Form
If viewing on a mobile phone, please turn on your rotation settings to view this order form horizontally.
Sales Consultant Information
*
Name
Last Name
Delivery Address:
Where are we sending your order?
Franchise Area
*
Franchise Area
Contact E-mail
*
Contact Number:
Requested Due Date
/
Month
/
Day
Year
Date Picker Icon
Select the items you require from the below options
Please ensure to let us know the quantity and if the charge is to either you, your Business Owner, or the Franchise.
Starter Pack Items
prev
next
( X )
Open Home Flag
$100.00 NZD
$
100.00
NZD
Durapole XT 1.8 x 0.85
Quantity
0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
Charged to:
Sales Consultant
Business Owner
Franchise
Item subtotal:
$0.00 NZD
$
0.00
NZD
Pole for Flag
$135.00 NZD
$
135.00
NZD
Quantity
0
1
2
3
4
5
6
7
8
9
10
Charged to:
Sales Consultant
Business Owner
Franchise
Item subtotal:
$0.00 NZD
$
0.00
NZD
Flag Base
$83.00 NZD
$
83.00
NZD
Tow bar mount
Quantity
0
1
2
3
4
5
6
7
8
9
10
Type
Car Wheel
Tow Bar
Ground Spike
Item subtotal:
$0.00 NZD
$
0.00
NZD
Total
$0.00 NZD
$
0.00
NZD
If you have an updated headshot photo, please upload here:
Browse Files
If you do not yet, but are waiting to receive this, please let us know an ETA in the additional notes at the bottom of this form.
Cancel
of
Conditions:
*Freight is additional to any prices stated*
Any additional notes?
Save
Submit Order
Clear Form
Print Form
Should be Empty: