Please complete this form to begin a layby. By submitting this form and paying the deposit, you agree to the Payment Policy Terms and the deposit is non-refundable.

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Name: ____________________

 

Email: ____________________

 

Phone:____________________

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Item: _____________________

 

Total Price: $___________

 

Deposit (40%, non‑refundable): $___________

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Payment Plan: Weekly / Fortnightly / Monthly Start Date: _______________

 

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Signature: ________________                                 Date: _____________________

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Please read the payment policy terms