Request a Trial Form

Company Details
Registered Company Name (If Pty. Ltd or Ltd):*
Trading Name:*
ABN:
Address:*
Street Address
Street Address Line 2
City
State / Province / Region
Postal / Zip Code
Country
Company Phone:*
Area Code
-
Phone Number
Company Fax:
Area Code
-
Phone Number
Purchase Order Details
Name of Ordering Personal:*
Position:*
Email Address:*
Phone:*
Area Code
-
Phone Number
Fax:
Area Code
-
Phone Number
Mobile Number:
Area Code
-
Phone Number
Please email purchase order to sales@plantcom.com.au
Accounts Payable Details
Accounts Payable Contact Name:*
Accounts Payable E-mail:*
Accounts Payable Phone:*
Area Code
-
Phone Number
Accounts Payable Fax:
Area Code
-
Phone Number
Billing Details
Billing Address:*
Street Address
Street Address Line 2
City
State / Province / Region
Postal / Zip Code
Country
Plantcom Sales Person:
Insert the name of your Plantcom Account Manager
Estimated Order Quantity based on Successful Trial:*
Estimated Purchase Time Frame After Trial:*
Estimated Budget for this project:*
Who is the decision maker:
What is their Position in the company:
What is their contact phone number:
Area Code
-
Phone Number
What is their email address:
Vehicle Assets
Vehicle/Asset Make
Vehicle/Asset Model
Rego or Asset Number
Vehicle/Asset Type
Name
Tracking Type
Install State
Additional Information
Proposed Trial Start Date:
Proposed Trial End Date
Purpose of this trial.:*

TERMS OF TRIAL
1.YOU ARE AGREEING TO ENTER INTO AN AGREEMENT WITH PLANTCOM, WHEREBY PLANTCOM WILL SUPPLY YOU THE PLANTCOM GPS TRACKING DEVICES FOR TRIAL PURPOSES FOR MAXIMUM PERIOD OF 1 MONTH AND YOU WILL PAY PLANTCOM A ONCE OFF INSTALLATION FEE OF $150 PLUS GST FOR EACH DEVICE.
2.TITLE FOR GOODS DOES NOT PASS FROM PLANTCOM TO YOU.
3.YOU WILL PAY PLANTCOM AT THE END OF THE TRIAL PROCESS ANY AND ALL OUTSTANDING FEES, INCLUDING ANY VALUE ADDED FEES SUCH AS SMS COSTS, VOICE CALL COSTS AND EXCESS DATA COSTS.
4.THIS AGREEMENT STARTS ON THE DAY OF SIGNING THIS AGREEMENT AND ENDS AFTER A PERIOD OF 1 MONTH OR WHENEVER THE GOODS ARE RETURNED AND PAYMENT IS RECEIVED WHICHEVER OCCURS LAST.
IT IS IN YOUR BEST INTEREST TO MAKE YOUR VEHICLES AVAILABLE FOR INSTALLATION AS SOON AS POSSIBLE.
5.YOU GIVE PERMISSION TO PLANTCOM TO CONDUCT ANY NECESSARY CREDIT CHECKS TO APPROVE OR DECLINE YOUR APPLICATION FOR THIS TRIAL PROGRAM

BY ANSWERING YES TO THIS ELECTRONIC AGREEMENT THE CUSTOMER ACKNOWLEDGES THAT HE OR SHE HAS READ, UNDERSTOOD AND AGREES TO BE BOUND BY THESE TERMS AND CONDITIONS AND OBLIGATIONS

If you agree with the terms and conditions of sale please answer YES:*