2013 monroe safety specialist program monroe safety ... · mon19012 2013 safety specialist brochure...
TRANSCRIPT
1. Fill in your company details
Business name: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Business type: installer/reseller/both . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Address: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
For Monroe website listed address and 1800 no. if different to above
Address: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Suburb: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . State: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Postcode: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Phone: ( ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Fax: ( ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Mobile: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Email: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Web address: www . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Members name: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Members position: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Monroe representative: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Customer Number: (Internal use only) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2. Monroe Safety Specialist pack details
Please select/tick one: Option 1 - GT GAS REFLEX PACK Option 2 - GAS MAGNUM TDT PACK
Polo shirt sizes required in pack: (sizes M – XXL) Polo shirt: (1) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Polo shirt: (2) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Additional postcodes When potential customers are online or on the 1800 number, they are directed to their closest installer through a postcode search. To widen your exposure to more customers, simply add nearby postcodes to your listing below.
($5 per additional postcode. Maximum of 20 can be selected).
Additional Postcode Costs $ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Additional Merchandise
Item: Price each: Qty: Shirt size: (M – XXL) Total Price:
Polo shirt $25.00
Additional merchandise cost $
3. Enclose cheque or money order with this form Enclose cheque/money order for this amount
or provide your credit card details.
Membership Cost: $150.00 (GST inclusive)
Additional Postcode Cost: $ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (fill in)
Additional Merchandise Cost: $ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (fill in)
Total cost $ . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Thank you for becoming a Monroe Safety Specialist.Conditions: 1. One membership per business 2. Membership lasts for 12 months, starting from the date of payment 3. Website and 1800 number listings will be updated fortnightly 4. Some advertising aspects are subject to change 5. Monroe reserves the right to refuse membership to this program.
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Card type: Mastercard Visa
Card Number:
Cardholder’s Name: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Card Expiry:
Cardholder’s Signature: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Date: . . . . . . . . . . . . /. . . . . . . . . . . / . . . . . . . . . . . Note: credit card details which are faxed through will not be accepted.
Mail to:Tear off this form and mail back with your cheque/money order to: Monroe Safety Specialist PO Box 61 Melrose Park SA 5039
Monroe Safety SpecialiSt MeMberShip Signup forMTo ensure we and your customers contact you accurately, please fill in the details below clearly and correctly.
2013 MONROE SAFETY SPECIALIST PROGRAM...
WE’VE GOT YOUR BACK
...AND FRONT
...AND SPORTS
...AND 4WD
ChANGE YOuR WORN ShOCkS AT 80,000kMS.
EVERYThiNG GETS OlD. EVEN YOUR ShOCKS.
Worn shocks compromise the safety of your car. have your shocks checked at 20,000km! To find your nearest Monroe Safety Specialist, scan the QR code or log onto monroe.com.au
PERF
MON19012 2013 Safety Specialist Brochure ƒ.indd 1 25/02/13 4:03 PM
• 1 x Pair of Ford Shock Absorbers (# 15-0509 for Falcon BA,BF,BFII ) • 1 x Pair holden Shock Absorbers (# 15-0232 for Commodore VP IRS – VZ IRS) • 2 x Monroe Polo shirts
• 2 x Monroe WSCh • 1 x Monroe Cap • 1 x Monroe Sports bottle • 3 x A5 Monroe writing pads • 1 x Monroe Counter Mat • 1 x DL brochures with holder • 3 x Monroe Pens • A SSP Member Certificate
• 1 x Pair Toyota hilux Shocks (# 16-0562 for rear Toyota hilux GGN25, kuN26 3.0ltr 4cyl Diesel, 3.9ltr V6 Year: 3/05 -->4/12 ) • 2 x Monroe Polo shirts • 2 x Monroe WSCh • 1 x Monroe Cap
• 1 x Monroe Aluminium Flask • 3 x A5 Monroe writing pads • 1 x Monroe Counter Mat • 1 x DL brochures with holder • 3 x Monroe Pens • A SSP Member Certificate
You’re amongst the best!Being a Monroe Safety Specialist proves to customers that you recommend and install Australia’s leading brand of shock absorbers.
Your business... on monroe’s safetY specialist 1800 hotline!When we advertise Monroe, we advertise you. You tap into the benefits of our local and national advertising and promotional activity... where our 1800 Safety Specialist hotline plays a vital role.
You’re on the monroe website dealer locator!Customers looking for recommended businesses can access you, 24/7 through Monroe’s corporate site.
Your own on-line presence!A dedicated web page, highlighting your business details, location and services with a photo. It’s an easy, inexpensive and effective way to boost your business online.
advertising & marketing support!
You’ll have a range of professionally produced advertising and marketing materials, with Monroe right behind you. All good to go and free of charge.
digitallY driving customers to You!
Targeted print and online ad campaigns across the year will drive traffic to Monroe’s Safety Specialist webpage... and you.
up to speed with ‘drive newsletters’
Monroe’s quarterly ‘Drive newsletter’ gives you the latest news on products, applications and promotions, with the latest industry happenings too. Plus, our on-line library has back issues with technical tips in the ‘members only’ section.
You’re on a winning team!
The Safety Specialist POS items helps generate customers’ confidence in your skills and knowledge. Monroe is Australia’s favourite shock absorber for good reasons… and why customers will keep coming back.
Just by joining the 2013 Safety Specialist program, you’ll go into four draws held quarterly to win 1 of 4 limited edition Mark Winterbottom framed memorabilia.
These amazing pieces of highly collectable racing memorabilia would take pride of place in any workshop or office – or make a great talking piece in your home!
Mark WinterbottomMonroe’s Safety Ambassador
For a $150 p.a. investment you’ll receive a stack of Monroe products and a whole new level of business support.
Best of all, you’ll be recognised as being amongst the best in the trade, selling and fitting Australia’s leading shock absorbers. And, the minute your membership is approved, we’ll shoot you a welcome pack valued at over $300.
What’s more, you’ll have the entire Monroe technical database available on-line. An extensive library of tips and solutions to keep you up to speed and keep your customers safer and happier.
On-sell the shock absorbers in your welcome pack and you’ve already recouped your investment!
OptiOn 1 GT GAS REFlEx PACK
The Monroe Safety Specialist program is a promise you’re making to your customers; to fit the best products to the highest standards to help maximise their safety, on and off road.
You’ll enjoy the support of Australia’s leading shock absorber manufacturer, with a host of other benefits. Driving up business opportunities and actively encouraging consumers to seek your services and advice.
What’s more, with Mark ‘Frosty’ Winterbottom as Monroe’s Safety Ambassador, the positive exposure and credibility he brings to this program, reflects straight onto your business.
Get into pole position for sales and join the Monroe Safety Specialist program.
… AND PUMPED UP MEMBERShiP PACKS
... AND WE’VE GOT YOUR BUSiNESSES BACK AS WEll.
… AND A BiGGER BUSiNESS PROFilE
OptiOn 2 GAS MAGNUM TDT PACK
YOU COUlD WiN MARK WiNTERBOTTOM FRAMED MEMORABiliA
PERF
MON19012 2013 Safety Specialist Brochure ƒ.indd 2 25/02/13 4:04 PM
• 1 x Pair of Ford Shock Absorbers (# 15-0509 for Falcon BA,BF,BFII ) • 1 x Pair holden Shock Absorbers (# 15-0232 for Commodore VP IRS – VZ IRS) • 2 x Monroe Polo shirts
• 2 x Monroe WSCh • 1 x Monroe Cap • 1 x Monroe Sports bottle • 3 x A5 Monroe writing pads • 1 x Monroe Counter Mat • 1 x DL brochures with holder • 3 x Monroe Pens • A SSP Member Certificate
• 1 x Pair Toyota hilux Shocks (# 16-0562 for rear Toyota hilux GGN25, kuN26 3.0ltr 4cyl Diesel, 3.9ltr V6 Year: 3/05 -->4/12 ) • 2 x Monroe Polo shirts • 2 x Monroe WSCh • 1 x Monroe Cap
• 1 x Monroe Aluminium Flask • 3 x A5 Monroe writing pads • 1 x Monroe Counter Mat • 1 x DL brochures with holder • 3 x Monroe Pens • A SSP Member Certificate
You’re amongst the best!Being a Monroe Safety Specialist proves to customers that you recommend and install Australia’s leading brand of shock absorbers.
Your business... on monroe’s safetY specialist 1800 hotline!When we advertise Monroe, we advertise you. You tap into the benefits of our local and national advertising and promotional activity... where our 1800 Safety Specialist hotline plays a vital role.
You’re on the monroe website dealer locator!Customers looking for recommended businesses can access you, 24/7 through Monroe’s corporate site.
Your own on-line presence!A dedicated web page, highlighting your business details, location and services with a photo. It’s an easy, inexpensive and effective way to boost your business online.
advertising & marketing support!
You’ll have a range of professionally produced advertising and marketing materials, with Monroe right behind you. All good to go and free of charge.
digitallY driving customers to You!
Targeted print and online ad campaigns across the year will drive traffic to Monroe’s Safety Specialist webpage... and you.
up to speed with ‘drive newsletters’
Monroe’s quarterly ‘Drive newsletter’ gives you the latest news on products, applications and promotions, with the latest industry happenings too. Plus, our on-line library has back issues with technical tips in the ‘members only’ section.
You’re on a winning team!
The Safety Specialist POS items helps generate customers’ confidence in your skills and knowledge. Monroe is Australia’s favourite shock absorber for good reasons… and why customers will keep coming back.
Just by joining the 2013 Safety Specialist program, you’ll go into four draws held quarterly to win 1 of 4 limited edition Mark Winterbottom framed memorabilia.
These amazing pieces of highly collectable racing memorabilia would take pride of place in any workshop or office – or make a great talking piece in your home!
Mark WinterbottomMonroe’s Safety Ambassador
For a $150 p.a. investment you’ll receive a stack of Monroe products and a whole new level of business support.
Best of all, you’ll be recognised as being amongst the best in the trade, selling and fitting Australia’s leading shock absorbers. And, the minute your membership is approved, we’ll shoot you a welcome pack valued at over $300.
What’s more, you’ll have the entire Monroe technical database available on-line. An extensive library of tips and solutions to keep you up to speed and keep your customers safer and happier.
On-sell the shock absorbers in your welcome pack and you’ve already recouped your investment!
OptiOn 1 GT GAS REFlEx PACK
The Monroe Safety Specialist program is a promise you’re making to your customers; to fit the best products to the highest standards to help maximise their safety, on and off road.
You’ll enjoy the support of Australia’s leading shock absorber manufacturer, with a host of other benefits. Driving up business opportunities and actively encouraging consumers to seek your services and advice.
What’s more, with Mark ‘Frosty’ Winterbottom as Monroe’s Safety Ambassador, the positive exposure and credibility he brings to this program, reflects straight onto your business.
Get into pole position for sales and join the Monroe Safety Specialist program.
… AND PUMPED UP MEMBERShiP PACKS
... AND WE’VE GOT YOUR BUSiNESSES BACK AS WEll.
… AND A BiGGER BUSiNESS PROFilE
OptiOn 2 GAS MAGNUM TDT PACK
YOU COUlD WiN MARK WiNTERBOTTOM FRAMED MEMORABiliA
PERF
MON19012 2013 Safety Specialist Brochure ƒ.indd 2 25/02/13 4:04 PM
• 1 x Pair of Ford Shock Absorbers (# 15-0509 for Falcon BA,BF,BFII ) • 1 x Pair holden Shock Absorbers (# 15-0232 for Commodore VP IRS – VZ IRS) • 2 x Monroe Polo shirts
• 2 x Monroe WSCh • 1 x Monroe Cap • 1 x Monroe Sports bottle • 3 x A5 Monroe writing pads • 1 x Monroe Counter Mat • 1 x DL brochures with holder • 3 x Monroe Pens • A SSP Member Certificate
• 1 x Pair Toyota hilux Shocks (# 16-0562 for rear Toyota hilux GGN25, kuN26 3.0ltr 4cyl Diesel, 3.9ltr V6 Year: 3/05 -->4/12 ) • 2 x Monroe Polo shirts • 2 x Monroe WSCh • 1 x Monroe Cap
• 1 x Monroe Aluminium Flask • 3 x A5 Monroe writing pads • 1 x Monroe Counter Mat • 1 x DL brochures with holder • 3 x Monroe Pens • A SSP Member Certificate
You’re amongst the best!Being a Monroe Safety Specialist proves to customers that you recommend and install Australia’s leading brand of shock absorbers.
Your business... on monroe’s safetY specialist 1800 hotline!When we advertise Monroe, we advertise you. You tap into the benefits of our local and national advertising and promotional activity... where our 1800 Safety Specialist hotline plays a vital role.
You’re on the monroe website dealer locator!Customers looking for recommended businesses can access you, 24/7 through Monroe’s corporate site.
Your own on-line presence!A dedicated web page, highlighting your business details, location and services with a photo. It’s an easy, inexpensive and effective way to boost your business online.
advertising & marketing support!
You’ll have a range of professionally produced advertising and marketing materials, with Monroe right behind you. All good to go and free of charge.
digitallY driving customers to You!
Targeted print and online ad campaigns across the year will drive traffic to Monroe’s Safety Specialist webpage... and you.
up to speed with ‘drive newsletters’
Monroe’s quarterly ‘Drive newsletter’ gives you the latest news on products, applications and promotions, with the latest industry happenings too. Plus, our on-line library has back issues with technical tips in the ‘members only’ section.
You’re on a winning team!
The Safety Specialist POS items helps generate customers’ confidence in your skills and knowledge. Monroe is Australia’s favourite shock absorber for good reasons… and why customers will keep coming back.
Just by joining the 2013 Safety Specialist program, you’ll go into four draws held quarterly to win 1 of 4 limited edition Mark Winterbottom framed memorabilia.
These amazing pieces of highly collectable racing memorabilia would take pride of place in any workshop or office – or make a great talking piece in your home!
Mark WinterbottomMonroe’s Safety Ambassador
For a $150 p.a. investment you’ll receive a stack of Monroe products and a whole new level of business support.
Best of all, you’ll be recognised as being amongst the best in the trade, selling and fitting Australia’s leading shock absorbers. And, the minute your membership is approved, we’ll shoot you a welcome pack valued at over $300.
What’s more, you’ll have the entire Monroe technical database available on-line. An extensive library of tips and solutions to keep you up to speed and keep your customers safer and happier.
On-sell the shock absorbers in your welcome pack and you’ve already recouped your investment!
OptiOn 1 GT GAS REFlEx PACK
The Monroe Safety Specialist program is a promise you’re making to your customers; to fit the best products to the highest standards to help maximise their safety, on and off road.
You’ll enjoy the support of Australia’s leading shock absorber manufacturer, with a host of other benefits. Driving up business opportunities and actively encouraging consumers to seek your services and advice.
What’s more, with Mark ‘Frosty’ Winterbottom as Monroe’s Safety Ambassador, the positive exposure and credibility he brings to this program, reflects straight onto your business.
Get into pole position for sales and join the Monroe Safety Specialist program.
… AND PUMPED UP MEMBERShiP PACKS
... AND WE’VE GOT YOUR BUSiNESSES BACK AS WEll.
… AND A BiGGER BUSiNESS PROFilE
OptiOn 2 GAS MAGNUM TDT PACK
YOU COUlD WiN MARK WiNTERBOTTOM FRAMED MEMORABiliA
PERF
MON19012 2013 Safety Specialist Brochure ƒ.indd 2 25/02/13 4:04 PM
1. Fill in your company details
Business name: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Business type: installer/reseller/both . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Address: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
For Monroe website listed address and 1800 no. if different to above
Address: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Suburb: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . State: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Postcode: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Phone: ( ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Fax: ( ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Mobile: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Email: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Web address: www . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Members name: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Members position: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Monroe representative: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Customer Number: (Internal use only) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2. Monroe Safety Specialist pack details
Please select/tick one: Option 1 - GT GAS REFLEX PACK Option 2 - GAS MAGNUM TDT PACK
Polo shirt sizes required in pack: (sizes M – XXL) Polo shirt: (1) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Polo shirt: (2) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Additional postcodes When potential customers are online or on the 1800 number, they are directed to their closest installer through a postcode search. To widen your exposure to more customers, simply add nearby postcodes to your listing below.
($5 per additional postcode. Maximum of 20 can be selected).
Additional Postcode Costs $ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Additional Merchandise
Item: Price each: Qty: Shirt size: (M – XXL) Total Price:
Polo shirt $25.00
Additional merchandise cost $
3. Enclose cheque or money order with this form Enclose cheque/money order for this amount
or provide your credit card details.
Membership Cost: $150.00 (GST inclusive)
Additional Postcode Cost: $ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (fill in)
Additional Merchandise Cost: $ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (fill in)
Total cost $ . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Thank you for becoming a Monroe Safety Specialist.Conditions: 1. One membership per business 2. Membership lasts for 12 months, starting from the date of payment 3. Website and 1800 number listings will be updated fortnightly 4. Some advertising aspects are subject to change 5. Monroe reserves the right to refuse membership to this program.
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Card type: Mastercard Visa
Card Number:
Cardholder’s Name: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Card Expiry:
Cardholder’s Signature: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Date: . . . . . . . . . . . . /. . . . . . . . . . . / . . . . . . . . . . . Note: credit card details which are faxed through will not be accepted.
Mail to:Tear off this form and mail back with your cheque/money order to: Monroe Safety Specialist PO Box 61 Melrose Park SA 5039
Monroe Safety SpecialiSt MeMberShip Signup forMTo ensure we and your customers contact you accurately, please fill in the details below clearly and correctly.
2013 MONROE SAFETY SPECIALIST PROGRAM...
WE’VE GOT YOUR BACK
...AND FRONT
...AND SPORTS
...AND 4WD
ChANGE YOuR WORN ShOCkS AT 80,000kMS.
EVERYThiNG GETS OlD. EVEN YOUR ShOCKS.
Worn shocks compromise the safety of your car. have your shocks checked at 20,000km! To find your nearest Monroe Safety Specialist, scan the QR code or log onto monroe.com.au
PERF
MON19012 2013 Safety Specialist Brochure ƒ.indd 1 25/02/13 4:03 PM
1. Fill in your company details
Business name: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Business type: installer/reseller/both . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Address: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
For Monroe website listed address and 1800 no. if different to above
Address: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Suburb: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . State: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Postcode: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Phone: ( ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Fax: ( ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Mobile: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Email: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Web address: www . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Members name: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Members position: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Monroe representative: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Customer Number: (Internal use only) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2. Monroe Safety Specialist pack details
Please select/tick one: Option 1 - GT GAS REFLEX PACK Option 2 - GAS MAGNUM TDT PACK
Polo shirt sizes required in pack: (sizes M – XXL) Polo shirt: (1) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Polo shirt: (2) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Additional postcodes When potential customers are online or on the 1800 number, they are directed to their closest installer through a postcode search. To widen your exposure to more customers, simply add nearby postcodes to your listing below.
($5 per additional postcode. Maximum of 20 can be selected).
Additional Postcode Costs $ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Additional Merchandise
Item: Price each: Qty: Shirt size: (M – XXL) Total Price:
Polo shirt $25.00
Additional merchandise cost $
3. Enclose cheque or money order with this form Enclose cheque/money order for this amount
or provide your credit card details.
Membership Cost: $150.00 (GST inclusive)
Additional Postcode Cost: $ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (fill in)
Additional Merchandise Cost: $ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (fill in)
Total cost $ . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Thank you for becoming a Monroe Safety Specialist.Conditions: 1. One membership per business 2. Membership lasts for 12 months, starting from the date of payment 3. Website and 1800 number listings will be updated fortnightly 4. Some advertising aspects are subject to change 5. Monroe reserves the right to refuse membership to this program.
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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Card type: Mastercard Visa
Card Number:
Cardholder’s Name: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Card Expiry:
Cardholder’s Signature: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Date: . . . . . . . . . . . . /. . . . . . . . . . . / . . . . . . . . . . . Note: credit card details which are faxed through will not be accepted.
Mail to:Tear off this form and mail back with your cheque/money order to: Monroe Safety Specialist PO Box 61 Melrose Park SA 5039
Monroe Safety SpecialiSt MeMberShip Signup forMTo ensure we and your customers contact you accurately, please fill in the details below clearly and correctly.
2013 MONROE SAFETY SPECIALIST PROGRAM...
WE’VE GOT YOUR BACK
...AND FRONT
...AND SPORTS
...AND 4WD
ChANGE YOuR WORN ShOCkS AT 80,000kMS.
EVERYThiNG GETS OlD. EVEN YOUR ShOCKS.
Worn shocks compromise the safety of your car. have your shocks checked at 20,000km! To find your nearest Monroe Safety Specialist, scan the QR code or log onto monroe.com.au
PERF
MON19012 2013 Safety Specialist Brochure ƒ.indd 1 25/02/13 4:03 PM