Business:

Phone: 02 9590 5722

Fax:

Fax: 02 9590 5822

Email: Status Flow Pty Ltd (click)

Postal Address:

P O Box 994
Petersham NSW 2049

If you prefer, please print out our form, complete it and FAX it to us 02 9590 5822

Plain Text Document. (click)

On-Line Form.

 
Your Name:
Address:
Suburb:
Postcode:
Contact Person:

Are you the Owner, Agent, Tenant or Other where you would like the work/quote carried out?

 

 Owner    

 Agent    

 Tenant    

 Other    


If different
Service Address:
Address:
Suburb:

 


Contact Details:
Home Phone: (61 2 9999 9999)
Work Phone: (61 2 9999 9999)
Mobile:
Fax: (61 2 9999 9999)
Email:

 


Description of Problem:

Does the Job require immediate attention ?

Yes

No

Preferred Appointment Times    

Preferred Date                   (dd / mm / yyyy)

NB: One of our Staff will call to confirm a suitable appointment time.

I have read the following Terms and Trade (link) and Agree.

By pressing the Submit button below, you have authorised us to go ahead with the work you have specified. Please check all details of this form before submitting, Thank you.