Ag & Hire – Online Hire Contract

Ag & Hire – Online Hire Contract

Complete this form after discussing your equipment and hire arrangements with Ag & Hire.
Customer and Billing Details
Contact Name

First NameLast Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Company Name / Trading Details
ABN
Billing Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Billing Email
example@example.com
Order Number/s required on invoice
Hire Arrangement Details
Machinery Delivery Required?
Will Be Contracting With Hired Equipment?
Public Liability Insurance Certificate

Upload a copy of your current public liability insurance certificate when contracting with hired equipment.
Cancelof
Equipment Hired
Hectares or Time Period Required
Pricing Basis
Default based on equipment selected. For multiple items, enter the agreed pricing basis for each item (per day, per engine hour or per hectare).
Agreed Price
Terms, Signature, and Date
Operator Competency
Customer Signature
Date Signed

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Should be Empty: