Order Form

OrderEnquiry - Quote Required

Date (required) Purchase Order
Customer Company Name
Contact Name (required)

Phone Number (required) Email Address (required)
End Client Truck Registration

Body Height* (mm)

REAR VIEW

Truck Rego

Left

Skid

Right

Skid

Body Width* (mm)

Top strap height from floor* (mm)
Bottom strap height from floor* (mm)

Panel Type

Straps (are straps needed)

Type of strap

Cut Outs (Is there a need for a cut out? Electrical channels, air con ducting etc?)

Cut Out Size Left or Right Panel (viewing panels from rear of truck/trailer) Measurement in from wall - to center of cut out (mm) Width of cut out (mm)

Special Instructions
e.g. Any further details required? Window or venting cut outs?

Approval to proceed
Name*:
Date:
*Please carefully check all measurements outlined above for all aspects of desired build and customisation, we build each ChillyBuns panel solution to order and incorrect supplied measurements could create poor fit and effect usefulness. Any corrections or alterations post build will incur additional cost.

Rubbermark use only
Bun No.

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