Customer Information Form

Please provide us with the following information, in confidence, in order for us to meet our regulatory, statutory and insurance requirements for an account to rent this type of specialized equipment. Visit our Frequently Asked Questions page for more information.

Thank you very much.

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Name Email Phone Number

Business Type

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Company Contacts:

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Insurance Information: Click here for more Info..

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Bank Reference:

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Message The above information is submitted in confidence for the purpose of establishing an account, and I certify this information to be true.
I authorise SKYRIDER EQUIPMENT to contact any of the above references supplied or any credit bureau that they may be affiliated with, to obtain information on the credit status of the applying company, listed above.
Submitted By:*

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