NDIS Quote Request
Veer Wagon and Accessories
Quote Request Date
.
Month
.
Day
Year
Date
Email address
*
example@example.com
NDIS Number
*
Plan Manager Business name (if applicable)
Plan Manger Details (if applicable)
First Name
Last Name
NDIS Recipients Name
*
First Name
Last Name
Delivery Address
*
Street Address (Can NOT be a PO Box)
Street Address Line 2
City
State / Territory
Post Code
Please select the items you require us to quote:
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Veer - Cruiser
Price excludes GST
$
799.99
AUD
Quantity
Cruiser
1
2
3
4
Veer - Cybex or Maxi-Cosi or Nuna Infant Car Seat Adapter
Price excludes GST
$
61.81
AUD
Quantity
Cybex or Maxi-Cosi or Nuna Seat Adapter
1
2
3
4
Veer - Britax Infant Car Seat Adapter
Price excludes GST
$
61.81
AUD
Quantity
Britax Infant Car Seat Adapter
1
2
3
4
Veer - Weather Cover
Price excludes GST
$
122.72
AUD
Quantity
Weather Cover
1
2
3
4
Veer - Travel Bag
Price excludes GST
$
118.17
AUD
Quantity
Travel Bag
1
2
3
4
Veer - Nap System
Price excludes GST
$
109.08
AUD
Quantity
Nap System
1
2
3
4
Veer - Drink and Snack Tray
Price excludes GST
$
29.99
AUD
Quantity
Drink and Snack Tray
1
2
3
4
Veer - Foldable Rear Basket
Price excludes GST
$
95.45
AUD
Quantity
Foldable Rear Basket
1
2
3
4
Veer - Cup Holders
Price excludes GST
$
29.99
AUD
Quantity
Cup Holders
1
2
3
4
Veer - Bug Shield
Price excludes GST
$
29.99
AUD
Quantity
Bug Shield
1
2
3
4
Please clearly specify how you need the invoice/s set out. For example two invoices shared between two NDIS recipients (ensure you give BOTH recipients full name and NDIS numbers below), or if you require one invoice for $1500 and the balance on a separate invoice etc. Please be as clear as possible. Thanks.
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