PPE Order Form

PPE Order Form

(Refer to EA for PPE Quantity)

Enter the details of the person who this PPE is required for

Name

First Name Last Name

Phone Number

Delivery Purposes

Division *

State *

QLD Depots

SA Depots

NSW Depots

VIC Depots

WA Depots

Is this new candidate *

Yes No

This for will be sent to PPE admin West:

This form will be sent to PPE admin East:

Purchase Order Number: *

PO Number; Initial of person whom ordered-Employee-Entity-State-date eg JSJBRTSWA2202 = John Smith- John Brown-RTS-WA-2202

Delivery Address *

FULL ADDRESS REQUIRED

WA Delivery Address *

1/58 Tarlton Crescent&#13;&#10;Perth Airport WA 6105

FULL ADDRESS REQUIRED

WA SA VIC (RTS QLD) Mens' Shirt Size

Colour

Logo

Qty

NSW QLD Mens' Shirt Size

Colour

Logo

Qty

NSW QLD Unisex Polo Size

Colour

Logo

Qty

Total Shirt Cost

WA SA VIC (RTS QLD) Women's Shirt Size

Colour

Logo

Qty

Total Shirt Cost

NSW QLD Women's Shirt Size

Colour

Logo

Qty

Total Shirt Cost

WA SA VIC Bomber Jacket

Colour

Logo

Qty

Total Shirt Cost

NSW QLD Bomber Jacket

Colour

Qty

Logo

NSW QLD 1/2 Zip Jacket Size

Colour

Qty

Logo

WA SA VIC (RTS QLD) 4 in 1 Jacket

Colour

Qty

Logo

NSW QLD Waterproof 4 in 1 Jacket Size

Colour

Qty

Logo

ALL Mens' Pant Size

Qty

ALL Women's Pant Size

Qty

All Men's Wheat Lace-up Boot Size

All Women's Wheat Lace-up Boot Size

All Glove Size

Glove Quantity

All Clear Safety Glasses Quantity

All Tinted Safety Glasses Quantity

All Hard Hat Logo

Qty

Orange Hard Hat Brim

All Bucket Hat Logo

Size

All Wide Brim Hat Logo

Size

All Beanie Logo

Qty

All Headlamp Quantity

KR Yellow/Navy Mens' Shirt Size - 7WM425X

Yellow and Navy ONLY for KR & RH

Mens' Shirt Quantity

Maximum of 5 Shirts ONLY

Logo

Embroider Name Under KR Logo

Christian name

KR Master PCFA Long Sleeve Shirt Size - 7WM425P

Maximum of 5 Shirts ONLY

Mens' Shirt Quantity

Maximum of 5 Shirts ONLY

Logo

Embroider Name Under KR Logo

Christian name

KR Master Cotton Drill Trouser - 7WM010NV

Pant Quantity

Maximum of 3 Pants

KR Bisley Rough Rider Jeans - 7WBP6050BL

Maximum of 3 Pants

Pant Quantity

Maximum of 3 Pants

KR Steel Blue Men's Lace-up Argyle Boots - 332102WT, Wheat ONLY

KR Steel Blue Argyle Zip Boots - 6S332152WT, Wheat ONLY

KR Masters 4 in 1 Jacket with KR heat seal - 7WJHT69YN

Yellow & Navy ONLY

Logo

Is this required?

KR Masters 'Bomber" Jacket - 7WJHT96YN

Yellow & Navy ONLY

Logo

Is this required?

SPECIAL ORDERS ONLY - Please paste the URL/ LINK to the item.

Example only, https://www.bisleyworkwear.com.au/s/coverall/

Select your Manager for Approval