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Name:

Phone number:

Email:

Date of event:

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Hire duration requested:

Preferred start date

Preferred end date

Type of event

Address where event is to be held:

Bathroom type

Approximate number of people attending:

We confirm that the area we wish to locate the bathroom has:

Reasonably level ground (most driveways are suitable) checkbox

10 amp power supply outlet within 10 metres (if further away, please advise below and we can bring extra extension cords) checkbox

Mains pressure or pump water supply checkbox

Mains sewer point or septic within 15m of where the bathroom will be (if further away, advise below and we can bring extra extensions) checkbox

Unobstructed access for installation and removal checkbox

Comments:

Additional information relevant to your enquiry:

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