HOF – Adinstall

Hills Order form – please complete and the order will be sent for fulfilment

"*" indicates required fields

Clinic Name*

Customer U No.*

Ordered By*

Clinic Contact Name*

Clinic Contact No.*

TM Email*

Address*

Address 1 Address 2 City County Post Code Country

Comments

HRACK80 - Hills Metal Rack 80cm

HRACK80 Quantity

HRACK80 Stand Alone Units Quantity

HRACK80 Header

Header Required

HRACK125 - Hills Metal Rack 125cm

HRACK125 Quantity

HRACK125 Stand Alone Units Quantity

HRACK125 Header

Header Required

HCORN070 - Corner Rack 70cm

HCORN070 Quantity

HSECU067 - Secured Rack 67cm

HSECU067 Quantity

HSMDI060 - Small Space Display 60cm

HSMDI060 Quantity

HSTAN053 - Standees 53cm

HSTAN053 Quantity

243165 - LED Shelf Lighting 80cm
Set 4pcs UK Plug 80cm

243165 Quantity

243166 - LED Shelf Lighting 125cm
Set 4pcs UK Plug 125cm

243166 Quantity

246143 - Dog Branding Header 80cm

246143 Quantity

246144 - Cat Branding Header 80cm

246144 Quantity

246145 - Dog Branding Header 125cm

246145 Quantity

246146 - Cat Branding Header 125cm

246146 Quantity

248802 - 2x Dog Lateral Side Panels

248802 Quantity

243151 - 2x Cat Lateral Side Panels

243151 Quantity

Recycling

If you would like old racks to be picked up for recycling/disposal, please tick here and provide more details in the text box.

Recycle/Disposal

Collection Details

Name

This field is for validation purposes and should be left unchanged.