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

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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.