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Home
Browse our hire equipment
Equipment by Area
Access Equipment Hire
Concrete Grinders and Polishers Hire
Earthmoving Equipment Hire
Poly Welding Equipment Hire
Compliance & Certification
Contact us
Sign in
Contact Us
Customer Information Sheet
Subject
*
Business Trading Name:
Individual Name:
*
ABN/ ACN:
Street Address:
Postal Address:
Phone Number
Mobile Number
Email for Accounts
*
How long has the business been established: Years / Months
Date Established:
Primary Person - Name
Position / Title
Address
Date of Birth:
Home Phone:
Mobile Number:
Drivers Licence No:
Issuing State:
*
Queensland
New South Wales
Victoria
Northern Territory
South Australia
Tasmania
ACT
Western Australia
Expiry Date:
Garaging Address:
Insurance / Damage Waiver
Yes
No - Self Insurance Certificate of Currency for Hire Equipment required
Excess applies for all damages irrespective of Damage Waiver option selected.
Upload Copy of Drivers Licence:
Submit
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