Order Form (Account Holders)

If you already have an account with fixxon please order using this form:

Home name (required)

Contact number(required)

Care home address(required)

Purchase order number

Invoice email (required)

Contact email (if different from invoice email)

Date

Contact name

Fixxon Original Buttons

Room Number/name Colour Quantity

Fixxon Etched Buttons

Room Number/name Colour Quantity

Fixxon accessories

Product Quantity
Fixxon Tool Kit (FIX-TK)
Fixxon Gun (FIX-G)
Fixxon Attacher Tool (FIX-A)
Fixxon Remover Tool (FIX-R)
Fasteners x 1000 (FIX-F1000)
New Garment Bag (FIX-GB)
Net Bags (FIX-NB)
Storage Cabinet (FIX-SC)
Starter Kit Commercial (FIX-SKC)
Fixxon Spare Needles (FIX-N)
Storage Box with Lid (FIX-SB)
Box Additional Tray (FIX-AT)
Fixxon Rail Divider (FIX-RD)
Fixxon Disc Divider (FIX-DD)

Notes and special instructions: