Full Name* Street Address* Suburb* Postcode* Phone* Your Email*
Which pool model(s) are you interested in? Verona (4.5m x 2.5m)Santa Fe (5.0m x 2.7m)Portofino (5.5m x 2.5m)Santorini (6m x 3.6m)Florentina (6.5m x 2.5m)Riviera (6.7m x 3.1m)Marina (6.7m x 3.2m)Cayman (7.07m x 4m)Centurion (7.5m x 3.5m)Bellagio (7.5m x 2.5m)Junior Marina (7.7m x 3.45m)Napoli (7.9m x 3.4m)Panama (8m x 4m)St Tropez (8.5m x 3.8m)Marina (8.8m x 3.8m)Tasman (9.5m x 4.4m)Monaco (10.6m x 4.4m)Apollo Spillway Spa (1.63m x 1.63m)Nova Spillway Spa (2.2m x 1.8m)The Cove Wading Pool (2.2m x 1.8m)
Which Display Centre would you prefer to have contact with?* —Metro North – JoondalupMetro Central – BelmontMetro South – BaldivisRegional WA
Would you like a site visit? Yes No
If yes, what is the best day(s) to visit? Monday Tuesday Wednesday Thursday Friday Saturday Sunday
What time do you prefer to meet? Morning (8am – Midday) Afternoon (Midday – 5pm) Evening (5pm onwards)
How Did you hear about Buccaneer Swimming Pools?* Internet Search Radio Newspaper Display Centre Exhibition Yellow Pages Referral/word of mouth Friend or Relative Other Your Message Type the following characters in the box below: