Renter's First Name
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Renter's Surname
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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
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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
2.4M closed luggage trailer (ZAR400 pday)
fee
per day
Employer's Details
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Employer's Contact Number
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Please enter a valid phone number.
Format: (000) 000-0000.
Date to collect trailer
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Month
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Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Date to return trailer
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Month
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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
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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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