Account Application

ENTITY DETAILS

Applicants Full Legal Name*

Please Choose*

	Sole Trader
	Individual
	Partnership
	Ltd Company
	Other

Trading as*

Postal address*

Physical address

Nature of business*

Years in business*

Order number required*

	Yes
	No

Telephone business

Email address*

Contact name and position*

OWNERSHIP

Owner / Directors Name*

Address*

Owner / Directors Name*

Address*

If Limited Liabilty Company - Address of Registered Office

Date of Incorporation

Affiliated or Parent Companies

TRADE REFERENCES

Company, Phone Number, Contact*

Company, Phone Number, Contact*

Company. Phone Number, Contact*

Please read our terms and conditions prior to sending your account application.

Terms and Condtions

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Our Latest Solution - StructureScan Mini

This hand held unit is used to locate rebar, conduits, post tension cables, voids and determine concrete slab thickness. If you would like more information on what we can do for you with our new Ground Penetrating Radar Scanner give our sales people a call on 0800 456937 or email Sales.

Contact Us

Phone: 64 9 414 5050
Fax: 64 9 414 1371
Email: info@lowery.co.nz