Order form
Personal information
Date*
First Name*
Last Name
Email*
Phone Number*
Fax Number
Delivery Address Line 1*
Address Line 2
Suburb*
State*
Select state
Australian Capital Territory
New South Wales
Northern Territory
Queensland
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Western Australia
Postcode*
Country
Australia
Preferred Contact Method*
Email
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Request
Quantity
1
2
3
4
5
6
7
8
9
10
Seat Cover
Set ( Front and Rear )
Pair ( 2 Front Seat Covers )
Piece ( 1 Rear or Far Rear Cover )
Prefered Material
Select material
Polypropelene
Canvas
Neoprene
Fabric Choose
Please select material first
Vehicle Details
Make / Model
Type of Car (E.g. Sedan, hatchback, etc)
Year
Seat Configuration
Front
Buckets
Bucket & 3/4
Bench
Airbag compatible covers
Yes
No
Side Air Bag
Yes
No
Middle
Split
No Split
Middle Seat Split Ratio
50/50
60/40
Rear/3rd
Split
No Split
Rear/3rd Seat Split Ratio
50/50
60/40
Armrest
Yes
No
Armrest place
Front Seat
Middle Seat
Rear Seat
Headrest
Yes
No
Headrest place and form
Front Seat
Separate
Moulded
Middle Seat
Separate
Moulded
Rear Seat
Separate
Moulded
Special
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Select Here
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Action 4WD Magazine
Australian Surfing Life
Kite Magazine
Internet Forum
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Recommendation
Repeat Customer
Show
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Shopping Confessions
Seen On TV
Instruction
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Fitting Room
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