1 Company Information 2 Ecobar 3 Corner Connectors 4 Corner Keys 5 Confirmation Company DetailsCompany Name*Contact Name* First Last Billing Address* Street Address City Postal Code Please select if shipping address is different from billing address. Shipping Address Shipping Address Street Address City Postal Code Company Email* Company Phone*Mobile PhoneInseal Sales RepresentativeIf you are ordering through a Inseal Sales Representative, please enter his/her Representative Code below. If you do not have a Representative Code then please Contact Us and we will be happy to help.Representative Code*Name: Tony Cash Position: Regional Manager Email: tony.cash@inseal.co.uk Mobile: 07481107615Name: Faz Sheikh Position: Sales Manager Email: faz sheikh@inseal.co.uk Mobile: 07966235252Name: Tim Ellis Position: Area Manager Email: tim.ellis@inseal.co.uk Mobile: 07456202602Name: Rehana Azhar Position: Sales Manager Email: rehana.azhar@inseal.co.uk Mobile: 07772786777Name: Javed Abbasi Position: Sales Manager Email: javed.abbasi@inseal.co.uk Mobile: 07472005600Special Requests and any other Info Ecobar Ecobar Black (1 box contains 500 meters) Quantity of boxesPrice in pence per meter eg 0.65Please enter decimal currency i.e. 0.42 = 42 pence per meterSub Total Ecobar Grey (1 box contains 500 meters) Quantity of boxesPrice in pence per meter eg 0.95Please enter decimal currency i.e. 0.42 = 42 pence per meterSub Total Corner Connectors 1000 Black Corner Connectors WITH HOLES Quantity of boxes (each box contains 1000 pieces)Price per box (1000)Enter amount in £'s i.e 25 = £25.00Sub Total 1000 Black Corner Connectors WITHOUT HOLES Quantity of boxes (each box contains 1000 pieces)Price per box (1000)Enter amount in £'s i.e 25 = £25.00Sub Total 3000 Black Corner Connectors WITH HOLES Quantity of boxes (each box contains 3000 pieces)Price per box (3000)Enter amount in £'s i.e 70 = £70.00Sub Total 3000 Black Corner Connectors WITHOUT HOLES Quantity of boxes (each box contains 3000 pieces)Price per box (3000)Enter amount in £'s i.e 70 = £70.00Sub Total 1000 Grey Corner Connectors WITH HOLES Quantity of boxes (each box contains 1000 pieces)Price per box (1000)Enter amount in £'s i.e 25 = £25.00Sub Total 1000 Grey Corner Connectors WITHOUT HOLES Quantity of boxes (each box contains 1000 pieces)Price per box (1000)Enter amount in £'s i.e 25 = £25.00Sub Total 3000 Grey Corner Connectors WITH HOLES Quantity of boxes (each box contains 3000 pieces)Price per box (3000)Enter amount in £'s i.e 70 = £70.00Sub Total 3000 Grey Corner Connectors WITHOUT HOLES Quantity of boxes (each box contains 3000 pieces)Price per box (3000)Enter amount in £'s i.e 70 = £70.00Sub Total Corner Keys 1000 Black Corner Keys Quantity of boxes (each box contains 1000 pieces)Price per box (1000)Enter amount in £'s i.e 15 = £15.00Sub Total 1000 Grey Corner Keys Quantity of boxes (each box contains 1000 pieces)Price per box (1000)Enter amount in £'s i.e 15 = £15.00Sub Total Amount DueTotalVAT 20%Amount Due
