CT400 Order Form

Thank you for your interest in the CT400 Contactless Payment System by Quest. Please complete the form below to order devices for your carwash facility. Once submitted to Prowash your order will be reviewed and we will email a confirmation of your order. To secure this order a deposit of 50% is required.

Customer Details

Full Legal Organisation Name(required)

ACN(required)

ABN(required)

Contact Name(required)

Title(required)

Site Address(required)

Trading Name(required)

Telephone No.(required)

Email(required)

Prowash Account?

Yes    No

Account Number(optional)

Order Details ^{# * ^}

Self Serve Bay(optional)

Auto Entry(optional)

Vacuum(optional)

Dog Wash(optional)

^# Sale Subject to Prowash's Terms & Conditions
* Suitable for Anztec & Mr Magic (May require Merlin 2 upgrade)
^{^} To confirm order a 50% deposit is required once Prowash quote is received

Other Details(optional)

Security Code(required)