Order Information – Cairns Natural Spring Water

Home
Water Facts
- Quality Control
Order
Products
- Personalised Labels
Containers for Change
Contact Us

Menu

Home
Water Facts
- Quality Control
Order
Products
- Personalised Labels
Containers for Change
Contact Us

ACCOUNT APPLICATION

See our great range of products before proceeding to Order Form!

Email Address

Enquiry Date

Delivery Commencement Date

Customer /Company Name

ABN

Operating Hours

Contact Name

Delivery Address

Postal Address

Phone

Mobile

Licence No.

Delivery Details

How did you hear about us?

Account Details:

COD Monthly Account

Rental Terms Available:

YEARLY $110 INCL GST 6 MONTHLY $99 INCL GST MONTHLY $22 INCL GST

Items available for rent:

RENTAL HOT/COLD CHILLER RENTAL COOL/COLD CHILLER

Items available for purchase:

WELL - $44.00 INCL GST HOT/COLD CHILLER - $473.00 INCL GST COOL/COLD CHILLER - $418.00 INCL GST CUPS (1000ctn) - $48.84 INCL GST

Bottled Water (No GST):

15 LT - $12.50 600ML X 24 CARTON - $16.80 1.5 LT X 12 CARTON - $15.50

I have truthfully provided the above information. I have read and agree to the below conditions link.

Terms and Conditions

If you are unable to place an order via the online form please download the hardcopy form below