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Welcome to FIREPLUMB SUPPLIES

FIREPLUMB HIRE FORM

ARE YOU HIRING THROUGH A MERCHANT?

Choose an option

NAME

YOUR EMAIL

COMPANY NAME

MOBILE NUMBER

PURCHASE ORDER NUMBER - IF HIRING THROUGH A MERCHANT, PO MUST BE FROM MERCHANT

BRANCH

HIRE EQUIPMENT

HIRE DATE

LENGTH OF HIRE

HIRE AGREEMENT TERMS AND CONDITIONS

I HAVE READ THE HIRE AGREEMENT TERMS AND CONDITIONS

I AGREE TO THE TERMS AND CONDITIONS OF HIRE

THE INFORMATION I HAVE PROVIDED IS TRUE AND CORRECT

I HAVE BEEN TRAINED AND KNOW HOW TO USE THE HIRE EQUIPMENT

Thanks for submitting!

OFFICE USE ONLY

SALES ORDER NUMBER

CUSTOMER SIGNED

DATE

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