Equipment Hire Application

National Rentals Pty Ltd

Equipment Hire Application
Business Name*
ABN*
Contact Person *
Position *
Email*
example@example.com
Mobile number *
License Number*
License Expiry Date*
Business Address*
Postal Address*
How many years has your Business been in operation*
Please select Equipment Type for Rent*
Please select Minimum Hire Period*
Hire Start Date*
Please upload a copy of your Drivers License (Front)*

Cancelof
Please upload a copy of your Drivers License (Back)*

Cancelof
Rental Charges will be direct debited from your Bank Account weekly.

4 Weeks rent must be paid as a Security Deposit and 1 week rent in Advance prior to collecting the Equipment.
Bank Name*
Bank Account Name *
BSB #*
Account # *
Accounts Contact Name *
Accounts Email*
example@example.com
I confirm that the details provided above are correct.

By signing below I agree for National Rentals Pty Ltd to issue the Formal Agreement for the selected hire.
Signature*

Clear
Date*

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Date
Should be Empty:

National Rentals Pty Ltd