Copy of Employment

First Name:

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Last Name:

*

Company Name:

*

Email Address:

*

Street & Suburb:

*

State:

*

Postcode:

*

Phone Number:

*

Contact By:

What is your tow vehcile:

*

What is the towing capacity of your tow vehicle:

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What tow hitch do you require:

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What type of brakes do you require:

*

What type of roads will the unit be travelling on:

*

What is your ideal delivered date:

Will you require a generator:

Will you require water tanks, if so what is the required capacity:

Will you require waste water tanks, if so what is the required capacity:

Would you prefer sliding or fixed glass windows:

What window security do you require:

Will you require a fly screen door:

Will you require air conditioners:

Will you require a fridge:

Will you require a microwave:

Please advise of any extra details or requirements not already listed above:

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