Order/Enquiry Form
Order Details
Date
/
Day
/
Month
Year
Date
Order Taken By
Mitchell Pennells
Blake Wilson
Chrissy Walker
Jeff Swan
SYD PHONE 3CX
Lee Jones
Luke Shepherd
Leigh-Anne
Do you require this order to be entered as a Quote?
*
YES
NO
Quote #
Hire Details
Customer
Customer Type
COD
ACCOUNT
Machine paperwork send to:
Site Contact:
Purchase Order #
Start Date
/
Day
/
Month
Year
Date
Hire Duration
Notes for Hire
Transport Details
Date/Time Requested
/
Day
/
Month
Year
Date
1
2
3
4
5
6
7
8
9
10
11
12
:
Hour
00
10
20
30
40
50
Minutes
AM
PM
AM/PM Option
TRANSPORT
CUSTOMER PICKUP
HAMMER HIRE DROP OFF
Delivery Window
7am to 9am
9am to 12pm
12pm to 3pm
ASAP
Delivery Time FIRM
Other
Site Address
TIER SITE TYPE
TIER 1 SITE
Standard Civil Specs
Out of Metro Charge
*
YES
NO
Transport Price Quoted
+ GST
Plant Details
Attachments
Auger - Access
Auger
Bucket Crusher
Bucket Screener
Combi Cutter
Combi Jaw
Compaction Plate
Compaction Wheel
Concrete Buster
Drum Cutter
Hammer
Pulveriser
Rock Grab
Rock Saw
Block Grabs
Manual Grabs
Attachments Description
Attachments Rate
+ GST
Attachments
Auger - Access
Auger
Bucket Crusher
Bucket Screener
Combi Cutter
Combi Jaw
Compaction Plate
Compaction Wheel
Concrete Buster
Drum Cutter
Hammer
Pulveriser
Rock Grab
Rock Saw
Block Grabs
Manual Grabs
Attachments Description
Attachments Rate
+ GST
Does Hammer Require re-sharpened Chisel?
YES
NO
Additional Maintenance task required?
YES
NO
Buckets
300GP
450GP
600GP
900GP
1200GP
1300GP
1500GP
Tilt
Sift
Ripper
Mud
Buckets Rate
+ GST
Buckets
300GP
450GP
600GP
900GP
1200GP
1300GP
1500GP
Tilt
Sift
Ripper
Mud
Buckets Rate
+ GST
Buckets
300GP
450GP
600GP
900GP
1200GP
1300GP
1500GP
Tilt
Sift
Ripper
Mud
Buckets Rate
+ GST
GP Bucket
With Blade
Without Blade
Machine
1.7T
3.5T
5.5T
8T
14T
20-25T
30-36T
45T
74T
6T Dump Truck
10T Dump Truck
12T Roller
RTV
Track Loader SVL65
Track Loader SVL75
Track Loader SVL95SKID
Skid Steer SSV75
FORK
BROOM
Machine Description
Machine Rate
+ GST
Fitting Details
Customer Machine Type (Make & Model)
Standard Hitch
5t pick up – (45 x 210-265 x 160)
8t pick up – (50 x 260-330 x 200)
8t pick up - (60 x 260-330 x 200)
14t pick up – (65 x 355-420 x 260)
14t pick up - (60 x 355-420 x 260)
16t pick up – (70 x 385-458 x 310)
20t pick up – (80 x 437-510 x 335)
30t pick up – (90 x 460-545 x 410)
40t pick up – (100 x 500-600 x 440)
Hitch Details
Pin Diameter x Center to Center x Width
Hose Fittings
Other Details
Order Requirements
Tier 1 checklist required
Rubber pads required
Zero Swing required
Push blade required
Tilt Hitch required
Loadrite required
Height/slew required
GSP required
Water Spray System
Screen Guard
Week end Charge
*
YES
NO
Does the Workshop require additional time for this order?
*
Please Select
NO
1 HOUR
4 HOURS
1 DAY
Time confirmed by Management
Special Requirements for Workshop
Attachment
Bucket
Machine
Standard Hitch
Date/Time Required
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