Online Booking Request

Online Booking Request

NB. This form is not confirmation of your booking, a staff member will be in contact with you shortly after you have submitted your form to discuss your request.
Name

First NameLast Name
Phone Number
Please enter a valid phone number.Format: 0000-000-000.
E-mail
example@example.com
Drivers license number (Only required for dry hire bookings)
Only required if you are requesting to dry hire a skip
Vehicle registration number (Only required for dry hire bookings)
This is the registration of the vehicle that will be towing the trailer mounted skip if dry hiring.

Do you require dry, wet or green waste hire? Not sure! Visit the link below.
Not sure what kind of hire you need! Our hire options can be found on our website here.
Hire start date

DayMonthYear
Hire start date from 7.30am weekdays and 8am weekends
Hour MinutesAM/PM Option
Hire end date

DayMonthYear
Hire end date no later than 6pm weekdays and 5pm weekends
Hour MinutesAM/PM Option
Destination Address (where the skip will be located)

Street Address

Street Address Line 2

SuburbState

Postcode
Please read the Conditions of Hire here and agree to the below statement.
I have read the Conditions of Hire above and agree.
I understand I have to pay a $100 bond which will be refunded at the end of my hire term, provided there is no damage to the skip. If dry hiring, you must select 'yes'.
How did you hear about us

Other
CQ Mobile Skips collects your personal information in line with our privacy policy to allow us to supply you (the customer) with the goods or services requested and to improve the service we offer. Our Privacy Policy can be found here. We will not use or disclose your personal information for any other purpose. By submitting this form you agree to having your personal information collected by CQ Mobile Skips to provide you with the service requested.
Please verify below
Should be Empty: