Web Site Full Name * Phone Number * Email * Address * Service required * Pickup Only Delivery Only Pickup and Delivery Pieces to be picked up * (Free pickup and delivery for orders above 12 pieces) Preferred pickup date * Preferred pickup time * 9:00 AM 10:00 AM 11:00 AM 12:00 PM 1:00 PM 2:00 PM 3:00 PM 4:00 PM Prefered delivery date Preferred delivery time 9:00 AM 10:00 AM 11:00 AM 12:00 PM 1:00 PM 2:00 PM 3:00 PM 4:00 PM Mode of payment Bank Transfer POS Cash Please pay to Account Name: GALLANT WASHROOM LTD Account Number: 1411939176 Bank: Access Bank Plc Send proof of account to accounts@thewashroom.ng Anything else you think we should know?