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CSD/Govt/Charity Order Form

Date of order (required)

Delivery date(required)

Client/Tennant Name (required)

Client/Tennant Phone number (required)

Client/Tennant Address (required)

Hire period(required)
 Same Day 2 Full Days 6 Full Days

Bin Size(required)
 2m3 3m3 4m3 6m3 10m3

Load Type(required)
 Light Domestic Mixed Heavy Clean Loads

Delivery Instructions/ Where to Place the Bin (required)

DEPARTMENT CONTACT DETAILS

Name of Department (required)

Department Contact Name (required)

Phone number (required)

Your Email (required)

Department Purchase Order Number

Email Address to send Invoice to (required)

ACT Skip Hire will send a confirmation email once the order has been processed
Phone: 6292 8187
Email: sales@skipbins.com.au