Hire Booking Form Purchase Order Number Your name Your email Your mobile Address where the loo will be located: High wind zone/exposed area? —Please choose an option—YESNO What is happening? select one —Please choose an option—EventConstructionFunctionPartyWeddingOther Type and No.of units required NOTE: Rental fee is charged on a monthly basis Standard(w hand sanitiser) Delivery date approx Removal date Premium (w hand basin) Delivery date approx Removal date Wheelchair Accessible Delivery date approx Removal date Trailer Unit Delivery date approx Removal date Removal date to be confirmed Service Required: —Please choose an option—FortnightlyWeekly Where did you hear about us? —Please choose an option—Online SearchSuggested by friendsSocial MediaHave seen your loos around