Fax your order

Please fill in your order details below and click "Create fax order" below. This will produce an order form for you to print and fax.

Fax to Christchurch (Rangiora) Fax: 03 313 5225

Customer Details:

Name	*	<-- Error! <-- Error!
Contact Number:	*	<-- Error! <-- Error!
Address1	*	<-- Error! <-- Error!
Address2		<-- Error!
City	*	<-- Error! <-- Error!
Other Address Details:		<-- Error!
Order Number:		<-- Error!
Date Required:	*	<-- Error!

Order Details:

Product Name	Quantity	Unit Price	Item Total
Dummy Test Product	1	$0.10 + GST	$0.10 + GST
Animal Health Elixer 2(ltr) container	1	$17.00 + GST	$17.00 + GST
Animal Health Elixer 5(ltr) container	1	$36.00 + GST	$36.00 + GST
Animal Health Elixer 20(ltr) container	1	$108.00 + GST	$108.00 + GST
Animal Health Elixer 210(ltr) drum	1	$740.00 + GST	$740.00 + GST
Surf to Turf 2(ltr) container	1	$22.00 + GST	$22.00 + GST
Surf to Turf 5(ltr) container	1	$40.00 + GST	$40.00 + GST
Surf to Turf 20(ltr) container	1	$130.00 + GST	$130.00 + GST
Hoof Oil 2(ltr) refill	1	$17.00 + GST	$17.00 + GST
Hoof Oil 2(ltr) bucket	1	$21.00 + GST	$21.00 + GST
Hoof Oil 2(ltr) bucket with brush	1	$22.00 + GST	$22.00 + GST
Hoof Oil 5(ltr) container	1	$36.00 + GST	$36.00 + GST
Hoof Oil 20(ltr) container	1	$106.00 + GST	$106.00 + GST
Addage Lick 5(ltr) container	1	$36.00 + GST	$36.00 + GST
Addage Lick 20(ltr) container	1	$106.00 + GST	$106.00 + GST
Addage Lick 210(ltr) drum	1	$740.00 + GST	$740.00 + GST
Disinfectant 2(ltr) container	1	$18.00 + GST	$18.00 + GST
Disinfectant 5(ltr) container	1	$37.00 + GST	$37.00 + GST
Disinfectant 20(ltr) container	1	$105.00 + GST	$105.00 + GST
Lick Drum	1	$485.00 + GST	$485.00 + GST
	SubTotal		$2822.10 + GST
	ORDER TOTAL		$2822.10 + GST
	ORDER TOTAL (inc GST)		$3245.42

Do you have any other instructions or questions regarding your order?

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