Hello our valued visitor, We present you the best web solutions and high quality graphic designs with a lot of features. just login to your account and enjoy ...

  • National 1300 767 492
  • Australia Head Office +61 3 9467 6188

Forms Fleet Aquisition Form

Fleet Aquisition Form


Trial- Pilot Order Form

Company Details

*Indicates Mandatory Fields
Registered Company Name (If Pty. Ltd or Ltd)*
Trading Name*
ABN
Street Address*
Address (cont.)
Suburb*
State*
Post Code*
Work Phone*
FAX*
   

Purchase Order Details

 
Name of Person Placing This Order*
Position Held*
Email Address*
Phone*
Fax
Mobile Telephone Number
Purchase Order Number   Please fax purchase order to 03 9466 7188
   

Accounts Payable Details

 
Accounts Payable Contact Name*
Email Address*
Phone*
Fax*
   

Billing Details

 
Billing Street Address*
Suburb*
State*
Post Code*
   
IntelliTrac Sales Person

Insert the name of your IntelliTrac account rep for personal service

   
Estimated Order Quantity based on Successful Trial?   Units
   
Estimated Purchase Time Frame After Trial?
   
Estimated Budget for this project? $Australian Dollars
   
Who is the decision maker?
What is their Position in the company?
What is their contact phone number?
What is their email address?
   
 

Vehicle/Asset
Make

Vehicle/Asset Model

State
where to
be
Installed

Rego or Asset Number

Vehicle/Asset Type

What Do You Want To Call This Device On The Software

Type Of Device Required  
1  
2  
3  
4  
5  
6  
7  
8  
9  
10  

    

 
   
Sim Cards to be supplied by   If supplied by IntelliTrac a trial fee will be charged
Installation by
   
Proposed Trial Start Date? dd/mm/yyyy   example 08/03/2012
Proposed Trial End Date dd/mm/yyyy   example 08/03/2012
   

Purpose of this trial and outcomes required for IntelliTrac to gain an order.

If you agree with the terms and conditions of sale please answer YES        (type in capital letters)