Rental Booking Form

Please select your equipment, numbers of days used, number of units, then submit your order. Once our staff receives your order we will make any necessary changes and reply to the supplied email with confirmation and exact cost. If you have existing pricing we will match that pricing. If you have other questions please contact us.

Booking Enquiry Details

Company Name *

First Name *

Last Name *

Address 1 *

Address 2 (optional)

City/Suburb *

State *

Postcode *

Email *

Phone *

Shipping Method *

Identification

License No. (optional)

State

License Expiry Date

Date of Birth

Signature *

Dates

Start Date *

End Date *

No. of Days Used *

If picking up from Wireless 2 Way please enter the dates you would like to collect and return your rentals. If your order is to be delivered please leave these fields blank and we will arrange delivery prior to your start date.

Pick-up Date *

Return Date *

Products

Product

Qty

Please Note: This booking constitues an enquiry only, our staff will respond shortly with confirmation or any variation that may be required.

What is 11 + 2? *

Rental Booking Form

Rental Booking Form

Re-order a previous booking

Booking Enquiry Details

Identification

Dates

Products