Equipment Hire Request Form

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Company Name *

Company Registration Number *

Contact Person *

First

Last

Email *

Contact Number

Billing Address

Type of Equipment Needed

Size of equipment

Start Date

End Date

Delivery Location/Site Address:

Commodity/Application of equipment

Hours per day/week/month

Require operators

Rates

Are you prepared to pay site establishment and de-establishment as well as 1 months minimum hours upfront

Mining permits valid and in place, can you provide a copy

terms andconditions agreement

I agree to the terms and conditions of hire and confirm the information provided is accurate.

Your Email Date

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Supplying materials, equipment, plant hire, and logistics support across Southern Africa’s mining and infrastructure sectors

Industrial Plant & Equipment Hire

Serving Mining, Construction, Manufacturing, Warehousing & Agriculture