BOOKING — East West Mech.

Booking Request Form

Premium machinery, hassle-free booking—get started below!

Name

First Name

Last Name

Email

Mobile phone number

(###)

###

####

Company (if applicable)

Postal address

Site address

If different from Postal address

Hire start-date

The start-date of the hire period

MM

DD

YYYY

Hire end-date

The end-date of the hire period

MM

DD

YYYY

Machine type

Select the machine type for hire

Machine info:

* Hitachi ZX17U-5A * 3 Buckets and a ripper. * Trailer 8x5 box trailer. * 7 pin flat plug.

Important Hire Conditions:

- The tow vehicle must be capable of towing 3+ tonnes. - The hired unit must be returned clean and refueled to avoid additional charges. - Cleaning fee: $110 - Refueling fee: $55 - Pick up 3/20 Bosworth Road, Woolgoolga NSW 2456. - Drop off available for a fee depending on location. - Insurance waiver option yes/no (10% of hire fee, reduces excess from $5500 to $750)

Insurance Waiver:

Optional insurance waiver (Yes/No) available—10% of hire fee

Yes

No

Booking Request Form

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