Hantrex Digital Television Set Top Box Order Form
This form is encrypted - your details are secure.
Name
Street/Unit Number
Street Name
Suburb
Postcode
State
select
ACT
NSW
NT please note - surcharge of $20 on deliveries
QLD
SA
TAS please note - surcharge of $10 on deliveries
VIC
WA please note - surcharge of $10 on deliveries
New Zealand - we will advise you via email
Delivery Address if different from above:
We deliver by courier, no deliveries to PO Boxes.
Note: You may prefer to have your box delivered to your business address. Please include all particulars.
Phone
Fax
TTY
Mobile
Email address
(We need this to confirm your order)
Please select how many J35's you'd like:
Please note - these boxes are demo and refurbished boxes.
1
2
3
Toshiba HDD J35 $1135 delivered
Please select any optional accessories you would like to add to your order.
1
2
3
DVI to HDMI Lead $75
1
2
3
HDMI to HDMI Lead $75
1
2
3
Optical Fibre Audio Cable $15
*Customers please note, if you'd like to pay via cheque/direct deposit, please email or call for our bank details.
Please select your credit card type:
BankCard
MasterCard
Visa
Please enter the name, as it appears on the card:
Card number:
Expiry date:
/
Verification Number (this is the last three digits printed on the signature panel on the reverse of your card)
If you have any special delivery instructions or comments, please enter them in the box below:
Thank You for your order. We will deliver your order as soon as possible. Please click on 'Submit' below to place your order.
By clicking on Submit - you authorise Hantrex Pty Ltd to debit your card to the value of your order.