Enquiry Form Name: __________________________________________________________ Email address:____________________________________________________ Contact number:__________________________________________________ I am: ⃝ Looking to buy a finished coaster ⃝ Interested in having my own vehicle customised What type of vehicle do you own? ______________________________________________ ⃝ Looking to buy a Toyota Coaster to customise from scratch ⃝ Looking to build a food van ⃝ Interested in a corporate customised bus I am interested in learning more about Overall design and floorplan ⃝ Decor ⃝ Cockpit outfitting ⃝ Beds ⃝ Lighting Design ⃝ Cabinetry ⃝ ⃝ Flooring & roof lining ⃝ Shower & Toilet ⃝ Kitchen Entertainment and lifestyle options - TV, DVD, stereo systems, satellite and WIFI, surround sound system, stereo inputs (3.5mm audio & USB, external marine-grade speakers) Other options ⃝ Air conditioning and heating ⃝ Plumbing and water tanks (fresh & grey) ⃝ Electricals and Gas Fitting ⃝ External Awnings ⃝ Optional extras -, satellite, BBQs, bike racks, bull bars, roof racks ⃝ Sustainable travel - solar systems, inverters, deep cycle batteries, LED lighting ⃝ Special Needs fittings - wheelchair lifts, steering modification, access shower, grab rails ⃝ Customised paintjobs or vinyl wrapping ⃝ External awnings - electrical or manual Other ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ⃝ Thank you - please send your completed form to: Email - sales@customcoastersaustralia.net Post - Factory 1/370 Maroondah Hwy, Healesville, Vic, 3777 or phone us to talk about your requirements by calling (03) 5962 5129.
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