Novis Equipment Trial Request Form

Your feedback is important to us. Please complete this Trial evaluation form to help us understand how best to support your assistive equipment requirement.

Please contact Novis on 1300 738 885 if you need help with your trial.

	3 ways to complete this form: 1. Fill in the form on this page
	2. Scan this QR code to complete this form on your mobile phone
	3. Fill in the pdf form here please open and fill in the pdf in Acrobat

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Novis Equipment Trial Request Form

Your feedback is important to us. Please complete this Trial evaluation form to help us understand how best to support your assistive equipment requirement.

Please contact Novis on 1300 738 885 if you need help with your trial.

	3 ways to complete this form: 1. Fill in the form on this page
	2. Scan this QR code to complete this form on your mobile phone
	3. Fill in the pdf form here please open and fill in the pdf in Acrobat

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12/12 Mars Rd, Lane Cove West, NSW 2066, Australia.
T 1300 738 885
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Whilst every effort is made to provide information that is accurate, occasionally, one or more items on our website may be incorrectly priced. Where a product is listed at an incorrect price due to typographical, photographic, or technical error or error in pricing information, Novis reserves the right to refuse, cancel or amend any product(s) listed at the incorrect price.

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