Order form
This form is to confirm you would like to go ahead with all or part of a pre-quoted project.
Thank you for working with us.

Centreline Design and Manufacture Ltd.

Email address *
Name *
Your answer
Company
Your answer
Contact number *
Your answer
Postal address
Please provide your address if you are a new customer, or if your address has changed.
Your answer
Project title
Your answer
Quote number and section for order *
Please refer to your quote and specify the stage(s) you would like to order (eg, 02031 Phase 1a, 1b)
Your answer
Order Number *
Please provide an order number for our records. This can be in any format. If you do not have one, then an option is to use your company initials followed by today's date.
Your answer
Notes
Your answer
Privacy *
Required
Terms and Conditions *
Required
Signed (your full name) *
By completing this form and clicking SUMBIT you are placing an order for the agreed work. You will recieve an invoice requesting 50% of the first stage, once this has been paid the work will commence.
Your answer
A copy of your responses will be emailed to the address you provided.
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