Hinterland Water Supplies ABN: 23846086334 Address: 97b Lawrence Drive, Nerang QLD 4211 Email: hire@hinterlandwater.com.au Hirer's Details First Name Phone Full Address Driver's License Number Licence Expiry Date Surname Alternate Phone Email Licence Type C - Car LicenceLR - Light RigidHR - Heavy RigidHC - Heavy CombinationMC - Multi Combination Entity Name Company Trading Name ABN Business Email Legal Entity Name Business Full Address Accounts Payable Contact Details Full Name Email Phone Number Trade Reference 1 Company Name Period in Business Contact Person Address Phone Number Email Trade Reference 2 Company Name Period in Business Contact Person Address Phone Number Email Type of Equipment Light Truck with 2,000L capacity (car licence only required)Trailer with 1,500L capacity (total tow weight 2,400kg) Date of Hire From To Notes for Booking Customer We will contact you ASAP regarding the confirmation of booking availability. Pick-up will be from 97b Lawrence Drive, Nerang QLD 4211, down the left-hand side of the Campbells Cash & Carry building when viewed from the road. I have read and agree to the Hire Contract Conditions.
