Hire Agreement - If you have any questions or concerns please call us on 0439 349 821

Name of Hirer:*

NameSurname
Business/Organisation (if applicable):
ABN (if applicable):
Address:*

Street Address

Street Address Line 2

CityState

Post Code
Mobile/Phone:*
Email:*
example@example.com
Drivers Licence number:*
Place of issue:
Licence expiry date:
(dd/mm/yyyy)
Hire period: (As per Invoice)
Hire Period - From*

DayMonthYear
Date
Hire Period - To*

DayMonthYear
Date
Mobile Coolroom/Freezer Unit - As per Invoice #
Enter Invoice Number
Site details:*

Same as above addressDifferent delivery address (If applicable - add details below)
Delivery/Site Address:

Street Address

Street Address Line 2

CityState

Post Code
By submitting this form, you understand that this agreement is valid for all Bendigo Coolroom Hires for the entirety of the current calendar year in which this form is completed.
How have you found the quality of the product and service of Bendigo Coolroom Hire so far?

Further Feedback is welcome below.
Further Comments (Feedback/Review):
Digital Signature of ‘Hirer’: *

Clear
Computer: Sign with mouse holding the left button. Touch screen for Smartphone and iPad.
Where is Bendigo Coolroom Hire?
Thank you for choosing Bendigo Coolroom Hire.

If you have any further questions, please contact us on 0439349821 or email us at info@bendigocoolroomhire.com
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