Beachwheels Australia - Order your Beachwheels All Terrain Wheel Chair, Wheelez Platform Dolly and Roleez Balloon Wheels

Order Form

NAME:
ADDRESS:
SUBURB / STATE / PCODE:
EMAIL:
HOME PH / FAX NUMBER:
MOBILE:
*BEACHWHEELS ALL TERRAIN WHEEL CHAIR*	Quantity
SIZE:
COLOUR:	Jacaranda Royal Blue
COST:	$2400 + Delivery


*WHEELEEZ PLATFORM DOLLY*	Quantity
COST:	$2900 + Delivery


*ROLEEZ WHEELS*	49cm Qty 30cm Qty
COST:	49cm wheels $179ea, 30cm Wheels $129 (price excludes delivery)
DELIVERY ADDRESS	Pls enter if different from above
PAYMENT METHOD	(Cheques payable to Beachwheels Australia)
	Beachwheels will quote transport costs and contact you with a total price prior to confirmation of order.


PO Box 891 Surfers Paradise 4217 Ph: (07) 5528 3478 Mobile: 0411 378 802 or 0417 613 566 Email Trade Enquiries Welcome