Customer search order form - landgate.wa.gov.au · Customer search order form Customer details...

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landgate.wa.gov.au Page 1 of 2 Customer search order form Customer details Company name: Contact name: Address: Email: Phone no.: Fax: Request item & costs No. of items to order Delivery type: If any further requirements please write in space below Requested item costs Not subject to GST Copy of a Certificate of Title / Survey / Document Delivery instruction & costs (2 working days required) GST inclusive Return by Post (additional fees may apply for packages over 50 grams) Service fee (per item ordered) Total GST inclusive

Transcript of Customer search order form - landgate.wa.gov.au · Customer search order form Customer details...

Page 1: Customer search order form - landgate.wa.gov.au · Customer search order form Customer details Company name: Contact name: Address: Email: Phone no.: Fax: Request item & costs No.

landgate.wa.gov.au Page 1 of 2

Customer search order form

Customer details

Company name: Contact name:

Address:

Email: Phone no.: Fax:

Request item & costs

No. of items to order Delivery type:

If any further requirements please write in space below

Requested item costs Not subject to GST

Copy of a Certificate of Title / Survey / Document Delivery instruction & costs (2 working days required) GST inclusive

Return by Post (additional fees may apply for packages over 50 grams)

Service fee (per item ordered)

Total GST inclusive

Page 2: Customer search order form - landgate.wa.gov.au · Customer search order form Customer details Company name: Contact name: Address: Email: Phone no.: Fax: Request item & costs No.

landgate.wa.gov.au Page 2 of 2

Customer details

Payment details

Please submit request via the following options. Email to: [email protected]

Fax to: Customer Service +61 (0)8 9250 3187 Post to: Landgate, Customer Service, PO Box 2222, Midland, WA, 6936

For enquiries, please contact +61 (0)8 9273 7373 for Customer Service.