customer search order form - landgate.wa.gov.au · customer search order form customer details...
TRANSCRIPT
![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](https://reader034.vdocuments.net/reader034/viewer/2022052006/6019bfa3d9c60b5a02450c57/html5/thumbnails/1.jpg)
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](https://reader034.vdocuments.net/reader034/viewer/2022052006/6019bfa3d9c60b5a02450c57/html5/thumbnails/2.jpg)
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.