
Click here for printable Order Form
Please print this Form out and either Fax or Mail it to:
Adobe Loos & Worms, PO Box 751, BEGA NSW 2550
PHONE 02 6494 1051 FAX 02 6494 1051 Mobile 0427 277 249
GREYWATER ORDER FORM (Effective June 2008, subject to change without notice)
|
Product |
Price |
Qty. |
+Freight |
TOTAL |
|
Greywater Diverter & Treatment Tank |
$335 |
|
* |
|
|
NCG Greywater Reuse System (dispersal area is below the house level) |
$890 |
|
* |
|
| Pump Well Tank & Pump |
$910 |
* | ||
|
NCP Greywater Reuse System (dispersal area up to 5mts ABOVE house level) |
$2575 |
|
* |
|
|
NCP Greywater Reuse System with High Water Level Alarm |
$2975 |
|
* |
|
|
Greywater System Design – includes Soil testing, Design layout, System Specification, Water Balance & Components listing |
From $150 |
|
nil |
|
|
Associated Equipment |
|
|
|
|
|
WhirlyBird Wind Assisted Ventilator |
$160 |
|
$15 |
|
|
Liquid Enzymes – 1 litres (makes 10 litres) Assists Composting in Pine Bark layer |
$25 |
|
$5 |
|
|
“Create an Oasis – Greywater Guide”; 51 page book. |
$45 |
|
$5 |
|
|
Compost Worms – Reds & Tigers, box of 2000 worms for Pine Bark layer. |
$30 |
|
$29 |
|
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** Payment by Credit Card – add 3% |
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* Please phone for a freight quote to your location. |
TOTAL |
$ |
||
Contact Name
(name on
Card if paying by Credit Card): _ _ _ _ _ _ _ _ _ _ _ _ _ __ _ _ _ _ _ __ _ _ _
_ _ __ _ _ _ _ _ ___ _ _ _ _
Postal Address
(Credit Card billing address if paying
by CC):
_ __ _ _ _ _ _ __ _ _ _ _ _ ___ _ _ __ _ _ _ _ _ _ _ _ _
_ _ _ _ _
_Postcode:
_ _ _ _ _
_ __
Phone: _ _ _ _ _ _ _ _ _ _ _ _ _ __ _ _ _ _ Fax: _ _ _ _ _ _ _ _ _ _ _ _ _ __ _ E-mail: _ _ _ _ _ _ _ _ _ _ _ _ _ __ _ _ _ _ _ __ _
Delivery Address: _ _ _ _ _ _ _ _ _ _ _ _ _ __ _ _ _ _ _ __ _ _ _ _ _ __ _ _ _ _ _ ___ _ _ __ _ _ _ _ _ _ _ _ _ _ _ _ __ _ _ _ _ _ __ Postcode: _ _ _ _ _
Payment Method: ٱ Direct Deposit ٱ Cheque ٱ Bankcard** ٱ Visa** ٱ MasterCard**
Direct
Deposit: Bank-
St. George;
BSB- 112 879; A/c Name:
Mr K R Mogridge;
A/c No.:
2802 4611
Credit Card
Number:__ __ __ __*__ __ __ __*__ __ __ __*__ __ __ __Card Expiry Date _ _ / _ _
3 Numbers on Card Back __ __ __