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2025-2026
DONATION RECIPIENT

Welcome to
FIREPLUMB SUPPLIES PTY LTD

FIREPLUMB HIRE FORM

CHARGE ACCOUNT:

YOUR NAME

YOUR EMAIL

COMPANY NAME

YOUR PHONE

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

OFFICE USE ONLY - ADD MACHINE NUMBER

SALES ORDER NUMBER

Thanks for submitting!

CUSTOMER SIGNED

DATE

Phone

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