Wovii NDIS

1

REQUEST AN NDIS QUOTE* This field is required.Please select how your NDIS is managed

By a Plan Manager

By the NDIS participant or a Carer

2

NDIS Participant Funding Details* This field is required.How is your NDIS funding managed?

Self Managed - You manage your own funding

3

Plan Managed* This field is required.I am an NDIS participant who has a Plan Manager or Support Coordinator registered with the NDIS

4

Self Managed* This field is required.I am a self-managed NDIS participant who manages my own funding, so I will submit your invoice to the NDIS

5

Please Make A Selection* This field is required.We will contact you to confirm colours and quantities. THIS IS NOT AN ORDER FORM.

Standard Towels

Jumbo Towels

Hooded Towels (please specify size from our range as there are several)

Active Towels

Washers

Other

6

CommentYou may use this area to indicate colours and quantities of each product

7

Do you want Wovii to send an invoice for required goods directly to:* This field is required.

To my Plan Manager on my behalf

Only to me as I am self Managed

8

Declarations* This field is required.Please complete both questions