EVERYTHING
WE DO
MUST HAVE A
JOB REFERENCE
NUMBER!

   Cascade Intranet form (08.04.12)

  JOB REFERENCE NUMBER

  COPY SENT TO ACCOUNTS DEPARTMENT
  CHECK ON CORRECT BILLING OF THIS JOB

 

JOB REFERENCE NUMBER 		OPTIONAL INFORMATION
Payment Options: Cascade Swimming Pools Limited
ENTER THE JOB REFERENCE NUMBER BELOW
 		Credit Card
Cash on the day EFTPOS on the day
Direct Credit
CUSTOMER NAME:
 Our ASB Bank A/c Number is: 12-3209-0448360-00
ADDRESS OF JOB: Credit Card Details

MAIL ADDRESS FOR INVOICE:

(Get full name & address for Billing purposes)

Card number


Expiry date mm/yy
Name on Card
SERVICE CALLS: Did you advise them of the
$59.95 + GST Minimum Call-Out Fee?
Yes Oops, no. I will do it now!
TELEPHONE NUMBERS (As many as you can)
Mobile Number:
Work
EMAIL ADDRESS Home
If no mobile available, enter home number in MOBILE
as a response to this field is required!
DESCRIPTION OF THE JOB OR WORK REQUESTED

WHO WILL BE REQUIRED TO TAKE ACTION - and - WHO IS TO MAKE SURE IT HAPPENS?
Will do the work - and - Will see it's done

URGENCY FACTOR! Think about it BEFORE you send this form in.
IMMEDIATE! - DO IT NOW! VERY URGENT URGENT NOT URGENT
THIS IS POSSIBLY A WARRANTY JOB? THIS IS DEFINITLY NOT A WARRANTY JOB CHARGE OUT JOB
Charge who? IF 'OTHER' NAME WHO PAYS HERE
 

       NOTE ANY COMMENTS OR 'PROMISES' MADE BY YOU MADE TO THE CUSTOMER?
    


CLICK 'SEND FORM' BUTTON TO CONTINUE

    

 		  
 
 


Counter re-set 15.01.2010