To Warehouse Sound Systems Pty Ltd

I offer the following information to support my application to rent equipment:

Hirer

Address

BH Phone

AH/Mobile

Fax

I submit the following documents as evidence of my identity:

Photo ID

Expiry Date

ID2

Expiry Date

ID3

Expiry Date

I request that Invoices be addressed to a Business Name or Corporate Entity:

If you represent a corporate entity please also complete Trade Account Application

You may contact the following persons to verify my details:

Trade Referee

Contact

Address

BH Phone

AH/Mobile

Fax

Personal Referee

Relationship

Address

BH Phone

AH/Mobile

Fax

Personal Referee

Relationship

Address

BH Phone

AH/Mobile

Fax

Personal Guarantee:

I offer the above information so that Warehouse Sound Systems Pty Ltd will agree to rent equipment to me.

I guarantee payment for all fees and rental charges for equipment supplied to me, until returned to Warehouse Sound Systems Pty Ltd, notwithstanding that I may request the fees and charges to be invoiced to a third party.

I accept responsibility for the safe return of equipment, and agree to indemnify Warehouse Sound Systems for all loss or damage to equipment supplied to me.

I authorise Warehouse Sound Systems to contact the abovenamed persons to assist in assessming this application.

Hirer

Witness

Signature

Date

Signature

Date