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With Monroe Gas-Magnum TDT shock absorbers fitted to your 4WD, you will sense the stability, safety and control essential when touring or taking on the toughest terrain. So whether your world is flat or if you feel the urge to drive off the map with a 2-inch lift, Monroe Gas-Magnum TDT provides the range and gives you the clearance. monroe.com.au
FOR WHEN THE WORLD ISN’T SO FLAT.
THE 2015 SAFETY SPECIALIST PROGRAM
AN ESSENTIAL BUSINESS TOOLThank you for becoming a Monroe Safety Specialist.Conditions: 1. One membership per business 2. Membership lasts for 12 months, starting from the date of payment 3. Website and 1800 number listings will be updated fortnightly 4. Some advertising aspects are subject to change 5. Monroe reserves the right to refuse membership to this program.
Card type: Mastercard Visa
Card Number:
Cardholder’s Name: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Card Expiry:
Cardholder’s Signature: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Date: . . . . . . . . . / . . . . . . . . . / . . . . . . . . . Note: credit card details which are faxed through will not be accepted.
Mail to:
Tear off this form and mail back with your cheque/money order to: Monroe Safety Specialist Suite 8, 17-19 Miles St Mulgrave VIC 3170
MONROE SAFETY SPECIALIST MEMBERSHIP SIGN UP FORMTo ensure we and your customers contact you accurately, please fill in the details below clearly and correctly.
Monroe Australia Pty. Ltd. ABN 68 007 525 386
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Additional Postcode Costs (GST inclusive)
$ . . . . . . . . . . . . . . . . . . . . . . . .
1. Fill in your company details
Business name: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Business type: installer/reseller/both . . . . . . . . . . . . . . . . . . . .
Address: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
For Monroe website listed address and 1800 no. if different to above
Address: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Suburb: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . State: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Postcode: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Phone: ( ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Fax: ( ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Mobile: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Email: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Web address: www. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Members name: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Members position: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Monroe representative: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Customer Number: (Internal use only) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2. Please choose one of the following:
Shock Absorbers Toyota Landcruiser 100 series
(16-0523 Gas Magnum TDT shock-pair)
Toyota Hilux rears 05-14 model 16-0562 (Gas Magnum TDT shock-pair)
Mitsubishi Triton rears 06-14 model 16-0631 (Gas Magnum TDT shock-pair
Struts
Mitsubishi Triton 06-14 fronts 36-0630 (Gas Magnum TDT shock-pair)
Holden Commodore VE rears 35-0718 (Reflex Struts)
Mitsubishi Magna 96-05 fronts 35-0579 & 35-0535 (Reflex Struts)
Holden Commodore VE (Super low) 35-0579 & 35-0580 (GT Sport Struts)
Ford Falcon BA-BF (Super low) 35-0572 (GT Sport Struts)
TAX INVOICE3. Enclose cheque or money order with this form
Enclose cheque/money order for this amount
or provide your credit card details.
Membership Cost: $ 150.00 . . (GST inclusive)
Additional Postcode Cost: $ . . . . . . . . . . . . . . . . (GST inclusive)
Additional Merchandise Cost: $ . . . . . . . . . . . . . . . . (GST inclusive)
Total cost (GST inclusive) $ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Additional postcodes When potential customers are online or on the 1800 number, they are directed to their closest installer through a postcode search. To widen your exposure to more customers, simply add nearby postcodes to your listing below. ($5 per additional postcode. Maximum of 20 can be selected).
For an annual $150 investment, Monroe will expose your business to a whole new world of opportunities full of Australia’s best selling products and comprehensive business support.
Not only will you be recognised as one of the best in the trade, selling and fitting Australia’s leading shock absorbers, we’ll also shoot you a welcome pack valued at over $300 the minute
your membership is approved! What’s more, you’ll have the entire Monroe technical database available to you online: an extensive library of tips and solutions to keep you up to speed and your customers safer and happier.
Best of all, if you on sell the shock absorbers in your welcome pack, you’ve already recouped your investment; what do you have to lose?
WHY MONROE SAFETY SPECIALIST PROGRAM?
DRIVE YOUR BUSINESS FURTHER.
GO IN THE DRAW FOR A MARK WINTERBOTTOM MINI HELMETJust by joining the 2015 Safety Specialist program, you’ll go into the draw to win 1 of 30 limited edition Mark Winterbottom mini helmets.
These unique pieces of highly collectable racing memorabilia are sure to go straight to the pool room.
We’ve been part of the Monroe Safety Specialist program since its inception. It has directly linked our business to Monroe, enabling us to benefit from their vast national marketing at extremely low cost to the business. Most importantly, customers are directed to us by the toll free number and Monroe website. We are proud to be involved with such an affordable and proven business generating program.
Bobbie and Jack Beedham Exhaust & Brake Centre, Redcliffe QLD
“
ONLY THE BEST!Instill a sense of trust with customers. As a Monroe Safety Specialist, customers can rely on you to recommend and install Australia’s leading brand of shock absorbers.
YOUR BUSINESS ON THE MONROE WEBSITE DEALER LOCATOR!Customers looking for recommended businesses can access you, 24/7 through Monroe’s corporate website.
YOUR OWN ONLINE PRESENCE!You’ll receive a dedicated web page, highlighting your business details, location, services and photo. It’s an easy, inexpensive and effective tool to boost your business online.
YOU’RE ON MONROE’S SAFETY SPECIALIST 1800 HOTLINE!When we advertise Monroe, we advertise you. As a part of the program, you tap into the benefits of our local and national advertising and promotional activity, of which our 1800 Safety Specialist hotline plays a vital role.
ADVERTISING AND MARKETING SUPPORT!A range of professionally produced advertising and marketing materials will be made available to you, with Monroe right behind you all the way. All campaigns will be good to go, and better yet, free of charge.
DIGITALLY DRIVING CUSTOMERS TO YOU!Targeted print and online campaigns across the year will drive traffic to Monroe’s Safety Specialist webpage, leading them to your company page.
KEEP UP TO SPEED WITH ‘DRIVE NEWSLETTERS’Monroe’s quarterly Drive Newsletter provides all the latest in products, applications, promotions, and industry news. Plus, our online library has back issues with technical tips in the ‘members only’ section.
PART OF A WINNING TEAM!As Australia’s favourite shock absorber, the Monroe Safety Specialist POS instills confidence with your customers.
Being a part of the Monroe Safety Specialist program ensures you are fitting the best suspension products to the highest standards, and in turn maximising vehicle safety and control on our roads.
With this in mind, Monroe will happily drive business opportunities and actively encourage consumers to seek your services and advice.
What’s more, the positive exposure and credibility Mark ‘Frosty’ Winterbottom brings as Monroe’s Safety Ambassador, reflects straight onto your business.
Get into pole position for sales and open the door to a world of new opportunities by joining the Monroe Safety Specialist program today.
A VITAL TOOL FOR ADDITIONAL BENEFITS.Having the support of Australia’s leading shock absorber manufacturer opens the door to a host of other benefits.
Mark WinterbottomMonroe’s Safety Ambassador
MERCHANDISE PACK25 x Seat Protectors, 25 Car Tidy Bags,
Desk Cube, Stubby Holder,
1 x Sport Bottle, 1 x Counter Mat,
1 x Mark Winterbottom Poster,
Monroe SSP Corflute, Mirror Hangers,
3 x Pens, 3 x Pads, 1 x Ruler,
2 x Bottle Opener Keyrings,
‘Drive’ Newsletter, 2015 Catalogue
1 x Brochure Holder & Brochures.
APPLICATIONSChoose 1 of the 8 following options:
SHOCK ABSORBERS Toyota Landcruiser 100 series (16-0523 Gas Magnum TDT shock-pair)
Toyota Hilux rears 05-14 model 16-0562 (Gas Magnum TDT shock-pair)
Mitsubishi Triton rears 06-14 model 16-0631 (Gas Magnum TDT shock-pair)
STRUTS Mitsubishi Triton 06-14 fronts 36-0630 (Gas Magnum TDT shock-pair)
Holden Commodore VE rears 35-0718 (Reflex Struts)
Mitsubishi Magna 96-05 fronts 35-0579 & 35-0535 (Reflex Struts)
Holden Commodore VE (Super low) 35-0579 & 35-0580 (GT Sport Struts)
Ford Falcon BA-BF (Super low) 35-0572 (GT Sport Struts)
”
For an annual $150 investment, Monroe will expose your business to a whole new world of opportunities full of Australia’s best selling products and comprehensive business support.
Not only will you be recognised as one of the best in the trade, selling and fitting Australia’s leading shock absorbers, we’ll also shoot you a welcome pack valued at over $300 the minute
your membership is approved! What’s more, you’ll have the entire Monroe technical database available to you online: an extensive library of tips and solutions to keep you up to speed and your customers safer and happier.
Best of all, if you on sell the shock absorbers in your welcome pack, you’ve already recouped your investment; what do you have to lose?
WHY MONROE SAFETY SPECIALIST PROGRAM?
DRIVE YOUR BUSINESS FURTHER.
GO IN THE DRAW FOR A MARK WINTERBOTTOM MINI HELMETJust by joining the 2015 Safety Specialist program, you’ll go into the draw to win 1 of 30 limited edition Mark Winterbottom mini helmets.
These unique pieces of highly collectable racing memorabilia are sure to go straight to the pool room.
We’ve been part of the Monroe Safety Specialist program since its inception. It has directly linked our business to Monroe, enabling us to benefit from their vast national marketing at extremely low cost to the business. Most importantly, customers are directed to us by the toll free number and Monroe website. We are proud to be involved with such an affordable and proven business generating program.
Bobbie and Jack Beedham Exhaust & Brake Centre, Redcliffe QLD
“
ONLY THE BEST!Instill a sense of trust with customers. As a Monroe Safety Specialist, customers can rely on you to recommend and install Australia’s leading brand of shock absorbers.
YOUR BUSINESS ON THE MONROE WEBSITE DEALER LOCATOR!Customers looking for recommended businesses can access you, 24/7 through Monroe’s corporate website.
YOUR OWN ONLINE PRESENCE!You’ll receive a dedicated web page, highlighting your business details, location, services and photo. It’s an easy, inexpensive and effective tool to boost your business online.
YOU’RE ON MONROE’S SAFETY SPECIALIST 1800 HOTLINE!When we advertise Monroe, we advertise you. As a part of the program, you tap into the benefits of our local and national advertising and promotional activity, of which our 1800 Safety Specialist hotline plays a vital role.
ADVERTISING AND MARKETING SUPPORT!A range of professionally produced advertising and marketing materials will be made available to you, with Monroe right behind you all the way. All campaigns will be good to go, and better yet, free of charge.
DIGITALLY DRIVING CUSTOMERS TO YOU!Targeted print and online campaigns across the year will drive traffic to Monroe’s Safety Specialist webpage, leading them to your company page.
KEEP UP TO SPEED WITH ‘DRIVE NEWSLETTERS’Monroe’s quarterly Drive Newsletter provides all the latest in products, applications, promotions, and industry news. Plus, our online library has back issues with technical tips in the ‘members only’ section.
PART OF A WINNING TEAM!As Australia’s favourite shock absorber, the Monroe Safety Specialist POS instills confidence with your customers.
Being a part of the Monroe Safety Specialist program ensures you are fitting the best suspension products to the highest standards, and in turn maximising vehicle safety and control on our roads.
With this in mind, Monroe will happily drive business opportunities and actively encourage consumers to seek your services and advice.
What’s more, the positive exposure and credibility Mark ‘Frosty’ Winterbottom brings as Monroe’s Safety Ambassador, reflects straight onto your business.
Get into pole position for sales and open the door to a world of new opportunities by joining the Monroe Safety Specialist program today.
A VITAL TOOL FOR ADDITIONAL BENEFITS.Having the support of Australia’s leading shock absorber manufacturer opens the door to a host of other benefits.
Mark WinterbottomMonroe’s Safety Ambassador
MERCHANDISE PACK25 x Seat Protectors, 25 Car Tidy Bags,
Desk Cube, Stubby Holder,
1 x Sport Bottle, 1 x Counter Mat,
1 x Mark Winterbottom Poster,
Monroe SSP Corflute, Mirror Hangers,
3 x Pens, 3 x Pads, 1 x Ruler,
2 x Bottle Opener Keyrings,
‘Drive’ Newsletter, 2015 Catalogue
1 x Brochure Holder & Brochures.
APPLICATIONSChoose 1 of the 8 following options:
SHOCK ABSORBERS Toyota Landcruiser 100 series (16-0523 Gas Magnum TDT shock-pair)
Toyota Hilux rears 05-14 model 16-0562 (Gas Magnum TDT shock-pair)
Mitsubishi Triton rears 06-14 model 16-0631 (Gas Magnum TDT shock-pair)
STRUTS Mitsubishi Triton 06-14 fronts 36-0630 (Gas Magnum TDT shock-pair)
Holden Commodore VE rears 35-0718 (Reflex Struts)
Mitsubishi Magna 96-05 fronts 35-0579 & 35-0535 (Reflex Struts)
Holden Commodore VE (Super low) 35-0579 & 35-0580 (GT Sport Struts)
Ford Falcon BA-BF (Super low) 35-0572 (GT Sport Struts)
”
For an annual $150 investment, Monroe will expose your business to a whole new world of opportunities full of Australia’s best selling products and comprehensive business support.
Not only will you be recognised as one of the best in the trade, selling and fitting Australia’s leading shock absorbers, we’ll also shoot you a welcome pack valued at over $300 the minute
your membership is approved! What’s more, you’ll have the entire Monroe technical database available to you online: an extensive library of tips and solutions to keep you up to speed and your customers safer and happier.
Best of all, if you on sell the shock absorbers in your welcome pack, you’ve already recouped your investment; what do you have to lose?
WHY MONROE SAFETY SPECIALIST PROGRAM?
DRIVE YOUR BUSINESS FURTHER.
GO IN THE DRAW FOR A MARK WINTERBOTTOM MINI HELMETJust by joining the 2015 Safety Specialist program, you’ll go into the draw to win 1 of 30 limited edition Mark Winterbottom mini helmets.
These unique pieces of highly collectable racing memorabilia are sure to go straight to the pool room.
We’ve been part of the Monroe Safety Specialist program since its inception. It has directly linked our business to Monroe, enabling us to benefit from their vast national marketing at extremely low cost to the business. Most importantly, customers are directed to us by the toll free number and Monroe website. We are proud to be involved with such an affordable and proven business generating program.
Bobbie and Jack Beedham Exhaust & Brake Centre, Redcliffe QLD
“
ONLY THE BEST!Instill a sense of trust with customers. As a Monroe Safety Specialist, customers can rely on you to recommend and install Australia’s leading brand of shock absorbers.
YOUR BUSINESS ON THE MONROE WEBSITE DEALER LOCATOR!Customers looking for recommended businesses can access you, 24/7 through Monroe’s corporate website.
YOUR OWN ONLINE PRESENCE!You’ll receive a dedicated web page, highlighting your business details, location, services and photo. It’s an easy, inexpensive and effective tool to boost your business online.
YOU’RE ON MONROE’S SAFETY SPECIALIST 1800 HOTLINE!When we advertise Monroe, we advertise you. As a part of the program, you tap into the benefits of our local and national advertising and promotional activity, of which our 1800 Safety Specialist hotline plays a vital role.
ADVERTISING AND MARKETING SUPPORT!A range of professionally produced advertising and marketing materials will be made available to you, with Monroe right behind you all the way. All campaigns will be good to go, and better yet, free of charge.
DIGITALLY DRIVING CUSTOMERS TO YOU!Targeted print and online campaigns across the year will drive traffic to Monroe’s Safety Specialist webpage, leading them to your company page.
KEEP UP TO SPEED WITH ‘DRIVE NEWSLETTERS’Monroe’s quarterly Drive Newsletter provides all the latest in products, applications, promotions, and industry news. Plus, our online library has back issues with technical tips in the ‘members only’ section.
PART OF A WINNING TEAM!As Australia’s favourite shock absorber, the Monroe Safety Specialist POS instills confidence with your customers.
Being a part of the Monroe Safety Specialist program ensures you are fitting the best suspension products to the highest standards, and in turn maximising vehicle safety and control on our roads.
With this in mind, Monroe will happily drive business opportunities and actively encourage consumers to seek your services and advice.
What’s more, the positive exposure and credibility Mark ‘Frosty’ Winterbottom brings as Monroe’s Safety Ambassador, reflects straight onto your business.
Get into pole position for sales and open the door to a world of new opportunities by joining the Monroe Safety Specialist program today.
A VITAL TOOL FOR ADDITIONAL BENEFITS.Having the support of Australia’s leading shock absorber manufacturer opens the door to a host of other benefits.
Mark WinterbottomMonroe’s Safety Ambassador
MERCHANDISE PACK25 x Seat Protectors, 25 Car Tidy Bags,
Desk Cube, Stubby Holder,
1 x Sport Bottle, 1 x Counter Mat,
1 x Mark Winterbottom Poster,
Monroe SSP Corflute, Mirror Hangers,
3 x Pens, 3 x Pads, 1 x Ruler,
2 x Bottle Opener Keyrings,
‘Drive’ Newsletter, 2015 Catalogue
1 x Brochure Holder & Brochures.
APPLICATIONSChoose 1 of the 8 following options:
SHOCK ABSORBERS Toyota Landcruiser 100 series (16-0523 Gas Magnum TDT shock-pair)
Toyota Hilux rears 05-14 model 16-0562 (Gas Magnum TDT shock-pair)
Mitsubishi Triton rears 06-14 model 16-0631 (Gas Magnum TDT shock-pair)
STRUTS Mitsubishi Triton 06-14 fronts 36-0630 (Gas Magnum TDT shock-pair)
Holden Commodore VE rears 35-0718 (Reflex Struts)
Mitsubishi Magna 96-05 fronts 35-0579 & 35-0535 (Reflex Struts)
Holden Commodore VE (Super low) 35-0579 & 35-0580 (GT Sport Struts)
Ford Falcon BA-BF (Super low) 35-0572 (GT Sport Struts)
”
With Monroe Gas-Magnum TDT shock absorbers fitted to your 4WD, you will sense the stability, safety and control essential when touring or taking on the toughest terrain. So whether your world is flat or if you feel the urge to drive off the map with a 2-inch lift, Monroe Gas-Magnum TDT provides the range and gives you the clearance. monroe.com.au
FOR WHEN THE WORLD ISN’T SO FLAT.
THE 2015 SAFETY SPECIALIST PROGRAM
AN ESSENTIAL BUSINESS TOOLThank you for becoming a Monroe Safety Specialist.Conditions: 1. One membership per business 2. Membership lasts for 12 months, starting from the date of payment 3. Website and 1800 number listings will be updated fortnightly 4. Some advertising aspects are subject to change 5. Monroe reserves the right to refuse membership to this program.
Card type: Mastercard Visa
Card Number:
Cardholder’s Name: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Card Expiry:
Cardholder’s Signature: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Date: . . . . . . . . . / . . . . . . . . . / . . . . . . . . . Note: credit card details which are faxed through will not be accepted.
Mail to:
Tear off this form and mail back with your cheque/money order to: Monroe Safety Specialist Suite 8, 17-19 Miles St Mulgrave VIC 3170
MONROE SAFETY SPECIALIST MEMBERSHIP SIGN UP FORMTo ensure we and your customers contact you accurately, please fill in the details below clearly and correctly.
Monroe Australia Pty. Ltd. ABN 68 007 525 386
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Additional Postcode Costs (GST inclusive)
$ . . . . . . . . . . . . . . . . . . . . . . . .
1. Fill in your company details
Business name: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Business type: installer/reseller/both . . . . . . . . . . . . . . . . . . . .
Address: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
For Monroe website listed address and 1800 no. if different to above
Address: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Suburb: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . State: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Postcode: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Phone: ( ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Fax: ( ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Mobile: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Email: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Web address: www. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Members name: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Members position: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Monroe representative: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Customer Number: (Internal use only) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2. Please choose one of the following:
Shock Absorbers Toyota Landcruiser 100 series
(16-0523 Gas Magnum TDT shock-pair)
Toyota Hilux rears 05-14 model 16-0562 (Gas Magnum TDT shock-pair)
Mitsubishi Triton rears 06-14 model 16-0631 (Gas Magnum TDT shock-pair
Struts
Mitsubishi Triton 06-14 fronts 36-0630 (Gas Magnum TDT shock-pair)
Holden Commodore VE rears 35-0718 (Reflex Struts)
Mitsubishi Magna 96-05 fronts 35-0579 & 35-0535 (Reflex Struts)
Holden Commodore VE (Super low) 35-0579 & 35-0580 (GT Sport Struts)
Ford Falcon BA-BF (Super low) 35-0572 (GT Sport Struts)
TAX INVOICE3. Enclose cheque or money order with this form
Enclose cheque/money order for this amount
or provide your credit card details.
Membership Cost: $ 150.00 . . (GST inclusive)
Additional Postcode Cost: $ . . . . . . . . . . . . . . . . (GST inclusive)
Additional Merchandise Cost: $ . . . . . . . . . . . . . . . . (GST inclusive)
Total cost (GST inclusive) $ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Additional postcodes When potential customers are online or on the 1800 number, they are directed to their closest installer through a postcode search. To widen your exposure to more customers, simply add nearby postcodes to your listing below. ($5 per additional postcode. Maximum of 20 can be selected).
With Monroe Gas-Magnum TDT shock absorbers fitted to your 4WD, you will sense the stability, safety and control essential when touring or taking on the toughest terrain. So whether your world is flat or if you feel the urge to drive off the map with a 2-inch lift, Monroe Gas-Magnum TDT provides the range and gives you the clearance. monroe.com.au
FOR WHEN THE WORLD ISN’T SO FLAT.
THE 2015 SAFETY SPECIALIST PROGRAM
AN ESSENTIAL BUSINESS TOOLThank you for becoming a Monroe Safety Specialist.Conditions: 1. One membership per business 2. Membership lasts for 12 months, starting from the date of payment 3. Website and 1800 number listings will be updated fortnightly 4. Some advertising aspects are subject to change 5. Monroe reserves the right to refuse membership to this program.
Card type: Mastercard Visa
Card Number:
Cardholder’s Name: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Card Expiry:
Cardholder’s Signature: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Date: . . . . . . . . . / . . . . . . . . . / . . . . . . . . . Note: credit card details which are faxed through will not be accepted.
Mail to:
Tear off this form and mail back with your cheque/money order to: Monroe Safety Specialist Suite 8, 17-19 Miles St Mulgrave VIC 3170
MONROE SAFETY SPECIALIST MEMBERSHIP SIGN UP FORMTo ensure we and your customers contact you accurately, please fill in the details below clearly and correctly.
Monroe Australia Pty. Ltd. ABN 68 007 525 386
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Additional Postcode Costs (GST inclusive)
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1. Fill in your company details
Business name: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Business type: installer/reseller/both . . . . . . . . . . . . . . . . . . . .
Address: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
For Monroe website listed address and 1800 no. if different to above
Address: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Suburb: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . State: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Postcode: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Phone: ( ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Fax: ( ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Mobile: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Email: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Web address: www. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Members name: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Members position: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Monroe representative: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Customer Number: (Internal use only) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2. Please choose one of the following:
Shock Absorbers Toyota Landcruiser 100 series
(16-0523 Gas Magnum TDT shock-pair)
Toyota Hilux rears 05-14 model 16-0562 (Gas Magnum TDT shock-pair)
Mitsubishi Triton rears 06-14 model 16-0631 (Gas Magnum TDT shock-pair
Struts
Mitsubishi Triton 06-14 fronts 36-0630 (Gas Magnum TDT shock-pair)
Holden Commodore VE rears 35-0718 (Reflex Struts)
Mitsubishi Magna 96-05 fronts 35-0579 & 35-0535 (Reflex Struts)
Holden Commodore VE (Super low) 35-0579 & 35-0580 (GT Sport Struts)
Ford Falcon BA-BF (Super low) 35-0572 (GT Sport Struts)
TAX INVOICE3. Enclose cheque or money order with this form
Enclose cheque/money order for this amount
or provide your credit card details.
Membership Cost: $ 150.00 . . (GST inclusive)
Additional Postcode Cost: $ . . . . . . . . . . . . . . . . (GST inclusive)
Additional Merchandise Cost: $ . . . . . . . . . . . . . . . . (GST inclusive)
Total cost (GST inclusive) $ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Additional postcodes When potential customers are online or on the 1800 number, they are directed to their closest installer through a postcode search. To widen your exposure to more customers, simply add nearby postcodes to your listing below. ($5 per additional postcode. Maximum of 20 can be selected).
