QUIRKS AUSTRALIA PTY LIMITED A.B.N. 81 109 670 948 Plain English Rental Agreement HEAD OFFICE: 198 POWER STREET GLENDENNING NSW 2761 PHONE: (02) 8805 2500 FAX: (02) 8805 2540 TOLL FREE: 1800 804 627 FINFM0050 Issue 1.1 – 31 Oct 07 STATE BRANCHES: • NEW SOUTH WALES • QUEENSLAND • VICTORIA • SOUTH AUSTRALIA • WESTERN AUSTRALIA BRANCHES: • COFFS HARBOUR • LISMORE • NEWCASTLE • PORT MACQUARIE • TAMWORTH • MOREE • NARRABRI AU00833
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Rental Agreement - Whitepages · Quirks Australia Pty Limited Rental Agreement Account No. Contract No. Short Term Long Term Tax Invoice A.B.N. 81 109 670 948 RENTERS DETAILS Renter
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QUIRKS AUSTRALIA PTY LIMITED A.B.N. 81 109 670 948
Make Model Description Serial Number Asset Number Replacement Value
EQUIPMENT LOCATION The equipment must not be moved from this location Business Name
Address State Post Code
Contact Name Phone No.
RENT PAYMENTS
Interval: Monthly Term: 0 Months/Weeks 1st Direct Debit / /
Rental Other Sub-Total GST Stamp Duty FID GST on S/D, FID where applicable
Total Amount Payable
This schedule will constitute a valid tax invoice for rent payments on the date of payment. INITIAL PAYMENT (all items include GST) Acceptance of this payment does not constitute acceptance of this agreement by Quirks Australia Pty Ltd
Delivery $ Pick Up $ 1st Rent Payment $ Total $ Deposit $
ACCEPTANCE OF RENTER By signing this agreement you agree to be bound by it
Signed by Witness Signature
Name Name
Title
ACCEPTANCE BY QUIRKS AUSTRALIA PTY LTD
Only by signing this agreement do we agree to be bound by it Accepted on the __________________________ day of __________________ 20____ (Commencement date) Authorised Person ______________________________ In the state of ________________________________
GUARANTOR’S DECLARATION
We request Quirks Australia Pty Ltd to supply goods and services from time to time to the renter and in consideration of that I/we jointly and severally guarantee to Quirks Australia due payments by the renter and all obligations arising from the supply of those goods and services. In the event of any default by the renter, I/we shall be deemed to become the principal debtor(s) to Quirks Australia Pty Ltd and the Guarantee shall bind my/our personal representative. Name [ ] Director [ ] Partner [ ] Proprietor
Signature Date
Witness Name
Witness Signature Date
Name [ ] Director [ ] Partner [ ] Proprietor
Signature Date
Witness Name
Witness Signature Date
RENTERS DETAILS
Company Name
Trading Name
Nature of Business Years Established
A.B.N. Type of Entity (Coy/Part/Sole Trader)
Accountant
Contact No. Phone No.
DIRECTORS / PARTNERS / PROPRIETORS DETAILS
Surname Given Name Date of Birth
Res. Address Post Code
Home Phone Mobile No. Drivers Lic. No.
Surname Given Name Date of Birth
Res. Address Post Code
Home Phone Mobile No. Drivers Lic. No.
Trade/Credit Ref. 1 Phone:
Trade/Credit Ref. 2 Phone:
OFFICE USE ONLY
Account No. Credit Terms Credit Limit ($) Warehouse Sales Rep. Territory Terms Customer Type Industry Code Marketing Flag Customer Flag Price Code Delivery Code Master Account Billing Control Mailing Control Industry Sub-Group
PRIVACY CONSENT FORM
) PRIVACY CONSENT FORM (continued)
You acknowledge that you have read and understood the authorisations and consents which you have given in this document.
Name of Applicant Signature Date
Name of Applicant Signature Date
Name of Guarantor Signature Date
Name of Guarantor Signature Date
) CUSTOMER DDR SERVICE AGREEMENT
DIRECT DEBIT REQUEST
I/We request you, Quirks Australia Pty Ltd. ABN 81 109 670 948, User ID No. 089854, to arrange for funds to be debited monthly from my/our nominated account at the financial institution shown below according to the schedule specified below or in accordance with Rental Agreement Contract No. …………….., dated …../……/20…..
Name
Address
Suburb State Post Code
Financial Institution
Account Name
BSB Number -
Account Number
Signature Signature
(If debiting from a joint bank account both signatures are required)