"*" indicates required fields

Please Note
This is for NON booked in jobs only, as in customer wants something special. Any orders relating to an existing repair/job are to be done on that job card

Customer Details

Customer Name

Order/Device Details

If not applicable use a "-"
If not applicable use a "-"
Storage and/or Physical size.
If not applicable use a "-"
If not applicable use a "-"
If not applicable use a "-"
If not applicable use a "-"
Hidden
OLD List*
If not applicable use a "-"
Quantity
Item Name
Model
Colour
Price Quoted
URL
 
Anything staff will need to know now, or in the future if the customer returns?
Why did the customer get this device?
Did the customer get this against your recommendations? If so what were your recommendations and why did they go against it?
Only Adjust if Priority
DD slash MM slash YYYY

Payment

In Dollars
In Dollars
DEAR Receipt Number
Remember
This form will always put jobs in "To Be Ordered" remember to move it to "Ordered" if you have already order the part.