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Type: | {{please_select_type}} | ||
Site address: | {{do_you_have_a_site_supervisor}} | ||
Do you have a site supervisor? | {{do_you_have_a_site_supervisor}} | ||
Builder (if answered yes) | {{_builder}} | ||
Site Contact (if answered yes): | {{site_contact_name}} | ||
Phone No (if answered yes): | {{phone_number}} | ||
How many lines? | {{how_many_lines}} {{how_many_lines2}} | ||
How many meters? | {{how_many_meters}} {{how_many_meters2}} | ||
Months hire is required: | {{how_many_months_hire_is_required_please_note_there_is_a_minimum_1_month_hire_period_}} | ||
Installation date: | {{when_would_you_like_them_to_be_installed}} | ||
Will you be using a crane or mobile plant within 3 meters? | {{will_you_be_using_a_crane_or_mobile_plant_within_3_meters}} | ||
Will you be installing scaffolding within 4 metres? | {{will_you_be_installing_scaffolding_within_4_metres}} | ||
General description of type of work being completed | {{general_description_of_type_of_work_being_completed}} | ||
How would you like to be contacted? | {{contact_method}} | ||
Email address: | {{email}} | ||
Phone Number: | {{phone_number2}} | ||
Personal Address: | {{personal_address}} | ||
Company Name: | {{company_name}} | ||
ABN | {{abn}} |
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