Information
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Document No.
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Plant Number
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Conducted on
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Area Sales Manager
Customer Details
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Location
- DF3 - VIC
- DF2 - NSW
- DF7 - TAS
- DF4 - QLD
- DF5 - SA
- DF6 - WA
- DF8 - NT
- DF9 - ACT
- DA3 - VIC
- DA2 - NSW
- DA7 - TAS
- DA4 - QLD
- DA5 - SA
- DA6 - WA
- DA8 - NT
- DA9 - ACT
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Division
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Hire Sector
- Road Maintenance
- Renewable
- Water Utility
- Gas Utility
- Power Utility
- Rail Infrastructure
- Civil Construction
- Government
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Company Full Name
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Contact Name
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Contact Number
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Invoices to be sent to:
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Is this an existing customer
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Photo of drivers license and Credit Card
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Is this going on an existing contract?
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Contract number
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Clients purchase order number
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PPSR will be charged?
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Note reason why PPSR not applicable
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Damage waiver will be charged?
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Have you supplied Contract Admin with customers current COC?
Booking and Rates Details
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Plant number or Description
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Rate (ex GST)
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Rate type
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On hire date
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Expected off hire date
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Does it require transport?
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Transport charges (ex GST)
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Site Contact
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Site Contact Phone
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Site Location and delivery notes
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Is a Fuel Card required
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Postal Address for delivery of the fuel card
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Any Special Conditions?
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What conditions?
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Is this a Rehire?
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Rehire Company Name
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Rehire Contact details
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Rehire Rate
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Purchase Order
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On-Hire Condition Report supplied by
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Rehire Terms & Conditions Cited and approved by Accounts Receivable?
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Does it require transport?
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Transport charges each way (ex GST)
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Site Contact
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Site contact phone number
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Site location and delivery notes
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Contact for Maintenance
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Depot Location of Rehire Company
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Another Plant Item
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Plant number or description
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Rate (ex GST)
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Rate type
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On hire date
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Expected off hire date
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Does it require transport
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Transport charges (ex GST)
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Site contact
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Site location and delivery notes
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Is this a Rehire?
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Rehire Company Name
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Rehire Contact details
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Rehire Rate
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Purchase Order
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On-Hire Condition Report supplied by
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Rehire Terms & Conditions Cited and approved by Accounts Receivable?
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Does it require transport?
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Transport charges each way (ex GST)
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Site Contact
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Site contact phone number
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Site location and delivery notes
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Contact for Maintenance
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Depot Location of Rehire Company
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Another Plant Item
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Plant number or description
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Rate (ex GST)
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Rate type
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On hire date
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Expected off hire date
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Does it require transport
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Transport charges (ex GST)
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Site contact
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Site location and delivery notes
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Is this a Rehire?
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Rehire Company Name
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Rehire Contact details
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Rehire Rate
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Purchase Order
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On-Hire Condition Report supplied by
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Rehire Terms & Conditions Cited and approved by Accounts Receivable?
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Does it require transport?
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Transport charges each way (ex GST)
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Site Contact
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Site contact phone number
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Site location and delivery notes
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Contact for Maintenance
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Depot Location of Rehire Company
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Additional Comments / Requirements.