6 Fullwood Close
Coventry             
CV2 2SS            
Tel:  024 76 602605         
Fax: 024 76 602609          
Company Name:
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Period of Hire Purchase Order No:      Contract No:   
Start Date: New Site:                 Yes   No  Account No:    

End Date: 

File No:                      Job Sheet No: 

Description

Type

Qty

Weeks 

Rate

Total

Radio Type
Charger Single

No Charge

Multi-way (6)

No Charge

NiCd Batteries

No Charge

Case/Beltclip

No Charge

Accessories
Spkr. Microphone

No Charge
Earpiece 

No Charge
Covert Kits 

No Charge
Delivery UK Mainland Next Day

£20.00

 

 

  ex. VAT

 Insurance Value of Equipment:   Press here for Terms and Conditions of Hire

Customer Name Position
Signature Date
Salesperson Signature Date

PRINT & FAX THIS FORM TO +44 (0)24 76 602609