WINZ QUOTE APPLICATION FORM

BUDGET BEDS

245 Church St , Onehunga, Auckland. Phone : 09 2812195
WINZ QUOTE APPLICATION FORM

Please take a moment to fill the short form.
Name *

First Name Last Name
Phone Number *

Area Code Phone Number
E-mail *
Preferred Method of Contact *

Phone Email Either
Your Address *

Street Address

Street Address Line 2

City
Product(s) You like to buy including Quantity. All Products & Available Sizes are mentioned on website (www.budgetbeds.co.nz) *
Please select size *

Single King Single Double Queen King Super King California King
If you know , You can Copy & Paste link from any Website (Optional)
How soon do you need this quote.
Would you like to add delivery charges on this quote. *

YES NO
Is delivery for upstairs ? (We'll book it with freight company with 2 people for delivery) (Extra charges apply $20-$30) *

Yes Please send 2 people , I am happy to pay extra Ground floor delivery - Just send one person
Do you have any special discount code ? (Sometime we publish them at different places)
Please mention code above.
How did you hear about us?
Comments/Special Requests
Should be Empty:

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BUDGET BEDS