Renter's First Name
*
Renter's Surname
*
Driver's License Upload
*
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Towing Vehicle's License Disc Upload
*
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Proof of Address Upload
*
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Trailer choice
*
Please Select
Closed luggage trailer 1.8 m
2.4m utility trailer
3m utility trailer
1.2L low budget car
Man,Bakkie, 3m trailer ZAR 1200 per day ZAR15 per km over 75km
fee
per day
Employer's Details
*
Employer's Contact Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Date to collect trailer
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Date to return trailer
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Hirer's Name who is liable for traffic violations during the rental period
*
Identity Number
*
Hirer's Email Address
example@example.com
Hirer as driver accepts liability for all traffic infringements
*
Signature - TOTAL ACKNOWLEDGEMENT AND AGREEMENT OF CONTRACT
EFT payments to CAPITECBANK ACC NUMBER: 2556028722 (IC TILLEY TOWGETHERTRAILER) OF CARD PAYMENTS VISA and MASTERCARD AT COLLECTION
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