e&s Commercial Custom Selection Appointment Booking Request Form
To ensure that we are providing your clients with the best possible customer service experience, please fill in and submit this appointment request form. Then one of our Selection Specialists be selected to contact your client directly to book in the most suitable time so that your client can complete their product selections. 1) Please Fill & Submit Form. 2) Once you hit submit, your request will automatically arrive to our custom.selections@eands.com.au email address. 3) Our Custom Selection Specialist Team will then make contact to confirm the appointment. 4) After the appointment is completed; our Estimating Team is advised and next step of process engaged. e&s to price accordingly and email through to your nominated contact.
COMPANY DETAILS:
Your Company Name
*
Job Number/Job Reference
*
Site Address
*
Your Name
*
Return Quote Email Address
*
Choose Appointment Type
*
In-Store
Virtual Showroom Selection
Online Consultant Selection
Type of Appointment Option
*
Initial Appointment
Follow Up Appointment
Preferred Showroom Location
*
Abbotsford - 335 Johnston St Hours: Monday to Friday 9am - 5.30pm
Blackburn - 106 Whitehorse Rd Hours: Monday to Friday 9am - 5.30pm
Chadstone - 675-685 Warrigal Rd Hours: Monday to Friday 9am - 5.30pm
Epping -1/560 High St Hours: Monday to Friday 9am - 5.30pm
Essendon - 120 Bulla Rd (DFO) Hours: Monday to Friday 10am - 6pm
Fyshwick (ACT) - 38 Collie Street Hours: Monday to Friday 9am - 5pm, Saturday 10am - 4pm, Sunday 10am - 4pm
Geelong - 531 Moorabool Rd Hours: Monday to Friday 9am - 5.30pm
Hawthorn - 632 Burwood Rd Hours: Monday to Friday 9am - 5.30pm
Hobart - 133 Bathurst Hours: Monday to Friday 9am - 5pm
Moorabbin - 970 Nepean Hwy Hours: Monday to Friday 9am - 5.30pm
Prahran - 460 High St Hours: Monday to Friday 9am - 5.30pm
Preston - 85 Chifley St Hours: Monday to Friday 9am - 5.30pm
Suggested Appointment Date (will be confirmed when contacted)
*
Will a company staff member require contact prior to e&s contacting and confirming the appointment with your client?
*
Yes
No
Will a company staff member be required to attend the appointment?
*
Yes
No
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COMPANY STAFF MEMBER CONTACT DETAILS:
Your Name/s
*
Your Mobile Phone Number
*
Your E-mail
*
Preferred contact method
*
Mobile Phone Number
E-mail
CLIENT'S CONTACT INFORMATION
Your Client's Name/s
*
Your Client's Home Phone and/or Mobile Phone Number
*
E-mail
*
Preferred contact method (can select multiple options)
*
Home Phone Number
Mobile Phone Number
E-mail
Not Required
Products to be Selected (can select multiple options)
*
Kitchen Appliances
Bathroom Fixtures & Fittings
Heating & Cooling
Hot Water Systems
Outdoor Alfresco (ie BBQ's and BBQ Rangehoods)
Whitegoods (ie washers, dryers & refrigeration)
Will you be providing Job Plans or Documentation in this submission?
Yes
No
Job Plans or Documentation (File Upload)
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Additional Important Information
*
Type to enter information
Back
Submit
Next
CLIENT CONTACT INFORMATION:
Client's Name/s
*
Home Phone Number and/or Mobile Phone Number
*
E-mail
*
Preferred contact method (can select multiple options)
*
Home Phone Number
Mobile Phone Number
E-mail
Products to be Selected (can select multiple options)
*
Kitchen Appliances
Bathroom Fixtures & Fittings
Heating & Cooling
Hot Water Systems
Outdoor Alfresco (ie BBQ's and BBQ Rangehoods)
Whitegoods (ie washers, dryers & refrigeration)
Will you be providing Job Plans or Documentation in this submission?
Yes
No
Job Plans or Documentation (File Upload)
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Additional Important Information
*
Type to enter information
Submit
Should be Empty: