Disc Brakes Australia - Sales Inquiry Form

Sales Inquiry Form

* Fields marked with an asterix are required fields

Please type your sales related question/s below: *

Personal Details

Required *

Title

First Name

Surname

Name of company or organisation
(if applicable)

E-mail address

Business-Hours Phone No.
(including area code)

After-Hours Phone No.
(including area code)

City

State

Postcode / Zip

Country

Optional Inquiry Details

Please provide us with details of your vehicle (if applicable to your inquiry)

Vehicle Details

Make

Model

Engine Size

Chassis No: (If applicable)

Year Model

Month	Year

Brake Pads used

Brake Pad Make
Brake Pad Material/Compound

Disc Brake Rotors used

Standard		Slotted		Cross-Drilled & Slotted
Other	Please specify

Privacy Statement:
It is important that you read our privacy statement (below) thoroughly and understand its contents before you provide us with personal information in the course of this inquiry.

PRIVACY STATEMENT FOR DBA WEBSITE USERS

What we record

When you visit the Disc Brakes Australia (DBA) web site, we record anonymous information about your visit and log the following information for statistical purposes:
your server address, your top level domain name (for example .com, .gov, .au, .uk etc), date and time of visit to the site, 
pages accessed and documents downloaded, referring site, and type of browser used.

This information is not specific to an individual and is used for system administration purposes, as well as statistical analysis. While anonymous information does not tell us anything about you specifically, it tells us about how you use our site.

No attempt is made by DBA to identify users or their browsing activities except, in the unlikely event of an investigation, where a law enforcement agency may exercise a warrant to inspect DBA's logs.

Relevant legislation
DBA is subject to the Privacy Act 1988 (Cwlth). The Commonwealth Privacy Act 1988, Information Privacy Principles 1 to 3, regulate collection of personal information.

Cookies
Another type of anonymous information shared between your browser and our server is a cookie. A cookie is a small text file that a server places on your hard drive to identify that subsequent requests to a site have come from the same user.

DBA uses cookies to 'remember' your browser between page visits. In this situation, the cookie identifies your browser, not you personally.

DBA uses cookies on this web site to develop patterns of site usage.

You are not obliged to accept cookies and can set your browser to disable them or prompt you before accepting them.

No personal information is stored within DBA’s cookies.

For more information on cookies refer to http://home.netscape.com/legal_notices/cookies.html and http://www.microsoft.com/info/cookies.htm?RLD=291

Email addresses
DBA will only record your email address if you send us a message. This information will only be used for the purpose for which you have provided it and will not be added to a mailing list. We will not use your email address for any other purpose, and will not disclose it, without your consent.

Forms
The main way in which DBA collects information from users is through forms provided on web pages. The user's information is not collected by DBA without the user's consent, that is, the user must click on a button provided to submit their information to DBA.

At or before the time DBA collects personal information, DBA will give notice, to the user of the DBA web site, of the purposes for which the information is collected.

Accountability
Users inquiring about their rights and remedies for breaches of privacy can access detailed information at the Australian Privacy Commissioner's web site at http://www.privacy.gov.au/rights

External sites that are linked to or from DBA's Internet site are not under our control and you are advised to review their privacy statements.

To ensure Disc Brakes Australia maintains your privacy and security, a time limit of 10 minutes has been set for you to complete this form process. If for any reason your computer remains idle for 10 minutes, the sales inquiry process will also cease for privacy and security reasons. If you exceed either of these time limits, you will need to begin the online inquiry process from the beginning.

By clicking on the 'Send Request' button below, you are confirming that you have read and understand the DBA Privacy Statement.

If you do not want to proceed, please cancel this inquiry.